WILLIAM RUSSELL MCKENZIE (FNP) – Family Nurse Practitioner, NPI 1548979255

WILLIAM RUSSELL MCKENZIE (FNP) is a healthcare provider. based in Farmington, Missouri. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP. They hold a License No. 2022045231 (MO). The NPI Number for WILLIAM RUSSELL MCKENZIE (FNP) is 1548979255

Main info

Male
9 Years Of Experience
Accepts Medicare Assignment
Name
WILLIAM RUSSELL MCKENZIE (FNP)
NPI
1548979255
Phone
(573) 756-6451
Address
1101 W LIBERTY ST
Enumeration Date
21 November 2022
Last Update Date
21 November 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5737566451
Graduation Year
2017 (9 years ago)
PAC ID
8820461288
Group Practice PAC ID
8921912767
Professional Enrollment ID
I20230306000935
Address ID
MO636401921FA1101XSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness75
Years active:3State licenses:1Digital endpointsOther names

7,017 NURSE PRACTITIONER in MO

Provider Addresses for WILLIAM RUSSELL MCKENZIE (FNP)

  • 1101 W LIBERTY ST

    FARMINGTON, MO 636401921

    Phone: (573) 756-6451

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2023-03-06

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20230306000935INurse PractitionerMOTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99285Emergency department visit with high level of medical decision making136133$0
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only6360$0
99284Emergency department visit with moderate level of medical decision making5958$0
View full utilization report →

Insurance plans in this area (ZIP 63640)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8921912767View full group profile

Reviews

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Frequently asked questions

How is WILLIAM RUSSELL MCKENZIE (FNP) identified in CMS data?
CMS-hosted NPPES data lists WILLIAM RUSSELL MCKENZIE (FNP) with NPI 1548979255.
Can I rely on WILLIAM RUSSELL MCKENZIE (FNP) being an active provider?
As of the registry snapshot, WILLIAM RUSSELL MCKENZIE (FNP) is marked active.
What is WILLIAM RUSSELL MCKENZIE (FNP)'s specialty?
The listing groups WILLIAM RUSSELL MCKENZIE (FNP) with Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What area does WILLIAM RUSSELL MCKENZIE (FNP) serve?
WILLIAM RUSSELL MCKENZIE (FNP)'s listing highlights Farmington, Missouri; more addresses can appear in NPPES.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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