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Active NPI 1356955181 Individual Practitioner Female Practitioner

Mackenzie Nicole Stutzman , CNP

Nurse Practitioner • Montgomery, OH

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Mackenzie Stutzman, CNP is a certified Nurse Practitioner practicing in Montgomery, OH. With approximately 6 years of clinical experience since completing medical education in 2020, Mackenzie Stutzman delivers high-quality medical care to the local community at 10506 MONTGOMERY RD.

Mackenzie Stutzman is affiliated with Nebraska Methodist Hospital and accepts Medicare assignment.

Frequently performed procedures and clinical services include critical care, first, critical care, follow-up hospital inpatient care per day. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

10506 Montgomery Rd

Montgomery, OH 452424487

Telephone 5138652227
Fax 5138655552
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

2020

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Montgomery, OH

Experienced Practitioner (5-10 Yrs)
Practitioner Clinical Experience
6 Yrs -7.0 yrs vs City Avg
City Avg: 13.0 Yrs
State Avg: 9.8 Yrs
Regional Practice Density
4 Specialists

Practicing in Montgomery, OH (4294 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
77.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Stutzman (6 Years) 6 Yrs
Montgomery Specialty Average (13.0 Years) 13.0 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99291 Critical care, first 30-74 minutes
38 32 $844.00 $187.82

Medical Specialties & State Licenses

CMS Verified: 2021-11-18
Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License MA RN2357906

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Nurse Practitioner - Acute Care

NUCC Taxonomy Code: 363LA2100X

State License OH APRN.CNP.0026900

Definition to come...

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
2565399 (OH)

Hospital & Practice Group Affiliations

Nebraska Methodist Hospital

8303 Dodge St, Omaha, NE 681144108

Phone: 4023431122

Secondary Practice Locations

10500 Montgomery Rd

Montgomery, OH 452424402

Phone: 5138651111

41 Mall Rd

Burlington, MA 018054487

Phone: 7817448000

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
NPI 1003493248

Doctor of Medicine (M.D.)

Syed Shad Mahmood

Internal Medicine - Critical Care Medicine

NPI 1023366671
Dr. Collin Herman , MD

Psychiatry & Neurology - Neurology

NPI 1023543196

Doctor of Medicine (M.D.)

Dr. Faraze Niazi , MD

Psychiatry & Neurology - Neurocritical Care

NPI 1033640172

Doctor of Medicine (M.D.)

Dr. Rubinee Simmasalam , MD

Psychiatry & Neurology - Neurocritical Care

NPI 1043848161

Doctor of Medicine (M.D.)

NPI 1043848419

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Business Mailing Address November 18, 2021

Registered at 41 MALL RD, BURLINGTON, MA 018050001 (Tel: 7817448000)

📍
Updated Practice Location November 09, 2020

Registered at 10506 MONTGOMERY RD, MONTGOMERY, OH 452424487 (Tel: 5138652227)

NPI Profile Active September 02, 2020

NPI status registered as active in NPPES database

📍
Updated Practice Location September 02, 2020

Registered at 10500 MONTGOMERY RD, MONTGOMERY, OH 452424402 (Tel: 5138651111)

📍
Updated Business Mailing Address September 02, 2020

Registered at 6858 ESTHER LN, MADEIRA, OH 452433133 (Tel: 5136003004)

👤
Provider Name / Credentials Updated September 02, 2020

Recorded as MACKENZIE STUTZMAN, CNP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 02, 2020

Nurse Practitioner (License #APRN.CNP.0026900 in OH)

🟢
Initial NPI Registration & Enumeration August 31, 2020

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1356955181
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 31, 2020
Last Update: November 18, 2021
Sole Proprietor: No

Mailing Address

41 Mall Rd

Burlington, MA 018050001

Phone: 7817448000

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.