Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jenna M McKenzie, FNP

Individual provider Registered Nurse · NPI 1225412208

Jenna M McKenzie, FNP is a Nurse Practitioner in Lake Ronkonkoma, New York. Qualified in 2016, 10 years ago. Practices with Advantagecare Physicians PC, a 310-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in New York.

Years since qualifying
10
Licensed in
NY
In the registry since
2015
Specialties on file
2
What do these letters mean?
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.

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Practice location Address checks out

640 Hawkins Ave
Lake Ronkonkoma, NY 11779-2324
Phone: (631) 737-0100
Fax: (631) 471-1117
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 1991 Marcus Ave, New Hyde Park, NY 11042 — (516) 354-1600
  • 300 Bayshore Road, North Babylon, NY 11703-2823 — (631) 586-2700

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 340249 (NY)
Registered Nurse Taxonomy 163W00000X · Licence 661769 (NY)

Record details

NPI number1225412208
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP
Sole proprietorNo
NPI enumeratedJuly 19, 2015
Last updated in NPPESSeptember 21, 2021
Certification dateSeptember 21, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Advantagecare Physicians Pc — 310 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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