Mackenzie J Fullerton (NPI# 1194384248, PAC ID# 8325375611) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1194384248 |
| PAC ID by PECOS | 8325375611 |
| Professional Enrollment ID | I20190808003616 |
| Full Name | Mackenzie J Fullerton |
| Organization Legal Name | MERCY CLINICS INC |
| Address |
1755 59th Pl West Des Moines IA 50266-7737 |
| Phone Number | 5153588000 |
| Gender | F |
| Graduation Year | 2019 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 7911810882 |
| Number of Group Practice Members | 430 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 160083 | MERCY MEDICAL CENTER-DES MOINES |
| Address | Phone | Organization |
|---|---|---|
| 1111 6th Ave, Des Moines, IA 50314-2610 | MERCY CLINICS INC | |
| 1111 6th Ave - Emergency Dept, Mercy Emergency Physicians, Des Moines, IA 50314-2610 | 5152474445 | MERCY CLINICS INC |
| 1111 6th Ave B1 E Tower, Mercyone Des Moines Neuropsychology, Des Moines, IA 50314-2610 | 5153580060 | MERCY CLINICS INC |
| 1111 6th Ave E Tower, Des Moines, IA 50314-2610 | MERCY CLINICS INC | |
| 330 Laurel St, Suite 1200, Des Moines, IA 50314-3044 | 5156435454 | MERCY CLINICS INC |
| 1755 59th Pl, West Des Moines, IA 50266-7737 | 5153588000 | MERCY CLINICS INC |
| Organization Legal Name | MERCY CLINICS INC |
| Physicians | 460 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Nermin Imsirovic | Nurse Practitioner | Mercy Clinics Inc | 1755 59th Pl, West Des Moines, IA 50266-7737 |
| Ambrose B Munro | Family Medicine | Mercy Clinics Inc | 1525 Grand Ave, West Des Moines, IA 50265-3412 |
| Sarah A Langel | Physical Therapy | Mercy Clinics Inc | 610 10th St, Perry, IA 50220-2221 |
| Jasmina Sabic | Family Medicine | Mercy Clinics Inc | 1750 48th St, Suite 1, Des Moines, IA 50310-1988 |
| Halli A Getting | Physical Therapy | Mercy Clinics Inc | 3310 Sw 9th St, Mercyone South Des Moines Physical Therapy Clinic, Des Moines, IA 50315-7647 |
| Brian K Scott | Family Medicine | Mercy Clinics Inc | 120 Nw 36th St, Mercyone Ankeny Briarwood Family Medicine Clinic, Ankeny, IA 50023-8411 |
| Rachael M Doty | Nurse Practitioner | Mercy Clinics Inc | 1601 Nw 114th St, 347 Mercyone Clive Pulmonary Care Clinic, Clive, ID 50325-7046 |
| Xuan-an Nguyen | Family Medicine | Mercy Clinics Inc | 5900 E University Ave, 100 Mercyone Des Moines Diabetes Education, Pleasant Hill, IA 50327-8457 |
| Brianna R Ducey | Physician Assistant | Mercy Clinics Inc | 9421 Marketplace Dr, Norwalk, IA 50211-2338 |
| Sierra R Dovico | Nurse Practitioner | Mercy Clinics Inc | 522 N Hancock St, Mercyone Family and Internal Med Clinic, Ottumwa, IA 52501-4231 |
| Street Address |
1755 59TH PL |
| City | WEST DES MOINES |
| State | IA |
| Zip | 50266-7737 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Nermin Imsirovic | Nurse Practitioner | Mercy Clinics Inc | 1755 59th Pl, West Des Moines, IA 50266-7737 |
| David L Friedgood | Neurology | Mercy Clinics Inc | 1755 59th Pl, West Des Moines, IA 50266-7737 |
| Ryan J Roe | General Surgery | Mercy Clinics Inc | 1755 59th Pl, West Des Moines, IA 50266-7737 |
| Tara M Graff | Medical Oncology | Medical Oncology and Hematology Associates Ptrshp | 1755 59th Pl, West Des Moines, IA 50266-7737 |
| Kenneth M Andersen | Family Medicine | Mercy Clinics Inc | 1755 59th Pl, West Des Moines, IA 50266-7737 |
| Leah J Brandon | Internal Medicine | Mercy Clinics Inc | 1755 59th Pl, West Des Moines, IA 50266-7737 |
| Angela E Sandre | Medical Oncology | Medical Oncology and Hematology Associates Ptrshp | 1755 59th Pl, West Des Moines, IA 50266-7737 |
| Stephanie Ann Ruden | Physician Assistant | The Iowa Clinic PC | 1755 59th Pl, West Des Moines, IA 50266-7737 |
| John M Wright | Neurology | Mercy Clinics Inc | 1755 59th Pl, West Des Moines, IA 50266-7737 |
| Emily Myers | Physician Assistant | Mercy Clinics Inc | 1755 59th Pl, West Des Moines, IA 50266-7737 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Steven Karl Zorn | Sleep Medicine | Iowa Sleep Disorders Center, P.C. | 4060 Westown Pkwy, West Des Moines, IA 50266-1010 |
| Christie A Bosler | Physician Assistant | Iowa Sleep Disorders Center, P.C. | 4060 Westown Pkwy, West Des Moines, IA 50266-1010 |
| Carol A Smith | Physician Assistant | Iowa Sleep Disorders Center, P.C. | 4060 Westown Pkwy, West Des Moines, IA 50266-1010 |
| Diedre K Benson | Nurse Practitioner | Iowa Sleep Disorders Center, P.C. | 4060 Westown Pkwy, West Des Moines, IA 50266-1010 |
| Terry D Huseman | Optometry | Des Moines Family Eyecare LLC | 1551 Valley W Dr, 118b, West Des Moines, IA 50266-1107 |
| Todd W Christensen | Optometry | 1551 Valley W Dr, Suite 100, West Desmoines, IA 50266-1107 | |
| Robert T Brown | Optometry | Des Moines Family Eyecare LLC | 1551 Valley W Dr, 118b, West Des Moines, IA 50266-1107 |
| Katherine Kemmerer | Optometry | Terry D Huseman Od PC | 1551 Valley W Dr, 242 Huseman Eyecare Valley West, West Des Moines, IA 50266-1108 |
| Kelly J Soults | Optometry | Terry D Huseman Od PC | 1551 Valley W Dr, 242 Huseman Eyecare Valley West, West Des Moines, IA 50266-1108 |
| Allen J Blume | Optometry | Terry D Huseman Od PC | 1551 Valley W Dr, 242 Huseman Eyecare Valley West, West Des Moines, IA 50266-1108 |
| Find all physicians in zip 50266 | |||
| City | WEST DES MOINES |
| Zip Code | 50266 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | WEST DES MOINES + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Mackenzie J Fullerton.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.