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Mackenzie Johnson , APRN

Nurse Practitioner - Pediatrics • Trinity, FL

Active NPI 1710631544 Individual Practitioner Female Practitioner
Practice location in NPPES

1812 Health Care Dr
Trinity, FL 346555362

Call 8137310944 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

1812 Health Care Dr

Trinity, FL 346555362

Telephone 8137310944
Organization at the Same NPPES Address or Phone
Pediatric Health Care Alliance, Pa Facility NPI 1861168643

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

What Public CMS Data Show

Nurse Practitioner - Pediatrics: NPPES taxonomy is a reported classification, not proof of board certification.

Industry payments (Open Payments)

Fewer than 11 payment records totaling $14.32 in 2024

Drug and medical device companies must report certain payments to doctors and some other clinicians to CMS, such as meals, travel, speaking fees or research funding.

These records are submitted by drug and medical device companies, and a reported payment does not necessarily mean the financial relationship is improper.

General: payments not tied to research, such as meals, travel, consulting or speaking fees.

A reported payment does not necessarily mean the financial relationship is improper. Research payments can go to a hospital or university for a study the clinician leads, not to the clinician personally. Clinicians can dispute records with the company that reported them.

Source: CMS Open Payments, program year 2024.

Guide: How to read an Open Payments record

NPI first issued

2022

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

Compared with the same specialty in Trinity and Florida

5 active clinicians are listed under Nurse Practitioner - Pediatrics with a practice address in Trinity, FL (1,547 in Florida).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Open Payments (2024), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo · Report an error.

Pharma & Medical Device Financial Disclosures

Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments

Open Payments · Program Year 2024
Disclosure Year:

Program year 2024 (payments made January 1 – December 31, 2024): fewer than 11 records totaling $14.32.

Manufacturer Payment Nature Product Type Amount ($)
Sanofi and Genzyme US Companies
Food and Beverage
In-kind items and services
TZIELD General $14.32

Source: CMS Open Payments, program year 2024, released June 30, 2026.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2022-03-11
Nurse Practitioner - Pediatrics Primary Specialty

NUCC Taxonomy Code: 363LP0200X

License # reported to NPPES FL APRN11018063
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

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

7 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 11, 2022

Nurse Practitioner (license number reported to NPPES: FL APRN11018063)

✅
NPI Profile Active February 10, 2022

NPI status registered as active in NPPES database

📍
Practice Location (Initial Record) February 10, 2022

Registered at 1812 HEALTH CARE DR, TRINITY, FL 346555362 (Tel: 8137310944)

📍
Business Mailing Address (Initial Record) February 10, 2022

Registered at 11632 CROWNED SPARROW LN, TAMPA, FL 336262649

👤
Provider Name / Credentials (Initial Record) February 10, 2022

Recorded as MACKENZIE JOHNSON, APRN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 10, 2022

Nurse Practitioner (license number reported to NPPES: FL 11018063)

🟢
Initial NPI Registration & Enumeration February 10, 2022

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1710631544
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 10, 2022
Last Update: March 11, 2022
Sole Proprietor: No

Mailing Address

11632 Crowned Sparrow Ln

Tampa, FL 336262649

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.