Look up the most recent NPI and PECOS records

Mckenzie Dee Angel

Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers

1158 Greenwood Rd, Spruce Pine, NC 28777-8806

PECOS Enrollment

This provider is enrolled in PECOS as MCKENZIE JOBE.

Based on the most recent information from CMS, provider Mckenzie Dee Angel is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1962992479
Provider Type
Individual
Full Name
Angel, Mckenzie Dee
Credential
APRN

Gender
Female
Sole Proprietor
No
Enumeration Date
5/10/2018
Last Updated
3/18/2025

Contact Information

Practice Location

1158 Greenwood Rd, Spruce Pine, NC 28777-8806

(828) 537-2180

Unlisted Fax

Mailing Location

1158 Greenwood Rd, Spruce Pine, NC 28777-8806

(828) 537-2180

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363LF0000X Primary	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License 247982 North Carolina
Code 363LP0200X	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License ARNP9378202 Florida

Mckenzie Dee Angel

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

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