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

Mackenzie Nichols

Individual provider Women's Health Nurse Practitioner · NPI 1295556132

Mackenzie Nichols is a Nurse Practitioner in Trinity, Florida. Qualified in 2022, 4 years ago. Practices with Health First Privia Medical Group, a 246-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
4
Licensed in
FL
In the registry since
2024
Specialties on file
2

Practice location Address checks out

2043 Little Rd
Trinity, FL 34655-4421
Phone: (727) 846-7000
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Women's Health Nurse Practitioner (primary) Taxonomy 363LW0102X · Licence APRN11024037 (FL)
Nurse Practitioner Taxonomy 363L00000X · Licence APRN11024037 (FL)

Record details

NPI number1295556132
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedOctober 23, 2024
Last updated in NPPESSeptember 30, 2025
Certification dateSeptember 30, 2025
Mailing address4630 Night Star Trl, Odessa, FL 33556-4254

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Health First Privia Medical Group — 246 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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