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

Miss. Mackenzie Kucks, APRN-C

Individual provider Gerontology Nurse Practitioner · NPI 1477208882

Miss. Mackenzie Kucks, APRN-C is a Nurse Practitioner in Tampa, Florida. Qualified in 2021, 5 years ago. Practices with Rehabilitation and Electrodiagnostics PA, a 31-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
5
Licensed in
FL
In the registry since
2022
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Practice location Address checks out

625 E Twiggs St Ste 103
Tampa, FL 33602-3925
Phone: (813) 228-7696
Fax: (813) 228-0677
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Gerontology Nurse Practitioner (primary) Taxonomy 363LG0600X · Licence 11018125 (FL)

Record details

NPI number1477208882
Entity typeIndividual (Type 1)
GenderFemale
Credentials APRN-C
Sole proprietorNo
NPI enumeratedFebruary 14, 2022
Last updated in NPPESApril 5, 2023
Certification dateApril 5, 2023

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Rehabilitation And Electrodiagnostics Pa — 31 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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