| Mackenzie Nicole Stutzman, CNP | |
|
10506 Montgomery Rd, Montgomery, OH 45242-4487 | |
| (513) 865-2227 | |
| (513) 865-5552 |
| Full Name | Mackenzie Nicole Stutzman |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 4 Years |
| Location | 10506 Montgomery Rd, Montgomery, Ohio |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356955181 | NPI | - | NPPES |
| 2565399 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LA2100X | Nurse Practitioner - Acute Care | APRN.CNP.0026900 (Ohio) | Secondary |
| 363L00000X | Nurse Practitioner | RN2357906 (Massachusetts) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Lahey Hospital & Medical Center, Burlington | Burlington, MA | Hospital |
| Northeast Hospital Corporation | Beverly, MA | Hospital |
| Winchester Hospital | Winchester, MA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Lahey Clinic Inc | 2264336528 | 1200 |
| Entity Name | Lahey Clinic Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1538194980 PECOS PAC ID: 2264336528 Enrollment ID: O20031120000097 |
| Entity Name | Lahey Clinic Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1063447316 PECOS PAC ID: 2264336528 Enrollment ID: O20040629001269 |
| Mailing Address | Practice Location Address |
|---|---|
| Mackenzie Nicole Stutzman, CNP 41 Mall Rd, Burlington, MA 01805-0001 Ph: (781) 744-8000 | Mackenzie Nicole Stutzman, CNP 10506 Montgomery Rd, Montgomery, OH 45242-4487 Ph: (513) 865-2227 |
Mrs. Erica Shawnta Mitchell, AGACNP- BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 10600 Montgomery Rd Ste 300, Montgomery, OH 45242 Phone: 513-853-9250 Fax: 513-281-1908 | |
Jeanna Marie Osborn, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 10500 Montgomery Rd, Montgomery, OH 45242 Phone: 513-865-5050 | |
Deana M Roper, ACNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 10506a Montgomery Rd, Montgomery, OH 45242 Phone: 513-246-2342 | |
Mrs. Lauren Marie Janowak, AGACNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 10506 Montgomery Rd Ste 304b, Montgomery, OH 45242 Phone: 513-853-9000 Fax: 513-624-2964 | |
Christine Moore, WHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 10495 Montgomery Rd Ste 25, Montgomery, OH 45242 Phone: 513-865-1631 | |
Darlene Tierney, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 11140 Montgomery Rd Ste 1300, Montgomery, OH 45249 Phone: 859-331-0774 Fax: 859-578-3800 | |
Cathleen Agnes Mcknight, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 10547 Montgomery Rd Ste 700, Montgomery, OH 45242 Phone: 844-533-0315 |