Independent US Healthcare Provider Directory & Public Medical Database Patient Guides

Mackenzie Nicole Docherty , AGACNP-BC

Nurse Practitioner - Gerontology • Stuart, FL

Active NPI 1346178217 Individual Practitioner Female Practitioner
Practice location in NPPES

200 Se Hospital Ave
Stuart, FL 349942346

Call 7722875200 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

200 Se Hospital Ave

Stuart, FL 349942346

Telephone 7722875200
Organization at the Same NPPES Address or Phone
Diagnostic Imaging Services Inc Facility NPI 1255301354

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

NPPES lists 1 additional practice-address record in Port St Lucie, FL. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2021–2025.

Guide: How to read an Open Payments record

NPI first issued

2026

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, “Does your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Mackenzie Docherty has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Mackenzie Docherty as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Stuart and Florida

6 active clinicians are listed under Nurse Practitioner - Gerontology with a practice address in Stuart, FL (1,043 in Florida).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo · Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2026-06-08
Nurse Practitioner - Gerontology Primary Specialty

NUCC Taxonomy Code: 363LG0600X

License # reported to NPPES FL APRN11047474
Nurse Practitioner - Critical Care Medicine

NUCC Taxonomy Code: 363LC0200X

License # reported to NPPES FL APRN11047474
Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Florida Department of Health Medical Quality Assurance.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - NURSE PRACTITIONER

Medicare Enrollment ID

I20260616002838

Enrollment State Jurisdiction

FL

PECOS Control ID

4688146103

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Secondary Practice Locations

10000 Sw Innovation Way

Port St Lucie, FL 349872111

Phone: 7723458100

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

40 listed
NPI 1932859840

Doctor of Medicine (M.D.)

Dr. Fouad Abuzeid , MD

Psychiatry & Neurology - Neurocritical Care

NPI 1255793642

Doctor of Medicine (M.D.)

Caitlyn Andersen , PA

Physician Assistant - Medical

NPI 1477195790

Physician Assistant

Dr. Maya Antony , MD

Internal Medicine

NPI 1477046357

Doctor of Medicine (M.D.)

Dr. Mary Assaad , MD

Internal Medicine - Critical Care Medicine

NPI 1902186745

Doctor of Medicine (M.D.)

Dr. Emmanuelle Bagdasarian , MD

Obstetrics & Gynecology

NPI 1558856674

Doctor of Medicine (M.D.)

Career & Practice History

NPI enumerated May 11, 2026.

No changes to the name, practice address, taxonomy or NPI status in this record have been observed in the monthly NPPES data files from June 2026 to August 2026.

No reviews have been published yet. Leave a review.

NPI Administrative Meta

NPI Number: 1346178217
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 11, 2026
Last Update: June 08, 2026
Sole Proprietor: No

Other Nurse Practitioner - Gerontology Specialists in Stuart

Healthcare providers in Stuart

Mailing Address

10000 Sw Innovation Way

Port St Lucie, FL 349872111

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.