| 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 |
| Location | 10506 Montgomery Rd, Montgomery, Ohio |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| 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 |
| Entity Name | Trihealth G Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1295862944 PECOS PAC ID: 0749222651 Enrollment ID: O20050601000358 |
| Entity Name | Trihealth H Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1811215742 PECOS PAC ID: 1850570458 Enrollment ID: O20110128000356 |
| 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 |
Taylor Smith, CNP Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 10500 Montgomery Rd Ste 6345, Montgomery, OH 45242 Phone: 513-865-5167 Fax: 513-865-5175 | |
Mrs. Rachel Lynn Derenski, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 10506a Montgomery Rd Ste 300, Montgomery, OH 45242 Phone: 513-865-5120 Fax: 513-246-4047 | |
Mrs. Courtney Kissel, PMHNP-BC Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 10547 Montgomery Rd # 700, Montgomery, OH 45242 Phone: 888-830-0347 | |
Mrs. Erica Shawnta Mitchell, AGACNP- BC Nurse Practitioner Medicare: Accepting Medicare Assignments 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: Accepting Medicare Assignments Practice Location: 10500 Montgomery Rd, Montgomery, OH 45242 Phone: 513-865-5050 | |
Emily Kate Noehring, AGPCNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 10506 Montgomery Rd Ste 304b, Montgomery, OH 45242 Phone: 513-853-9000 Fax: 513-246-2964 | |
Deana M Roper, ACNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 10506a Montgomery Rd, Montgomery, OH 45242 Phone: 513-246-2342 |