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

Mr. Mackenzie James Stanley, NURSEPRACTITIONER

Individual provider Family Nurse Practitioner · NPI 1790463495

Mr. Mackenzie James Stanley, NURSEPRACTITIONER is a Nurse Practitioner in Geneva, New York. Qualified in 2023, 3 years ago. Practices with Newark Wayne Community Hospital, a 133-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
3
Licensed in
NY
In the registry since
2023

Practice location Address checks out

601B W Washington St
Geneva, NY 14456-2119
Phone: (315) 781-8448
Show map & directions

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

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence F352011 (NY)

Record details

NPI number1790463495
Entity typeIndividual (Type 1)
GenderMale
Credentials NURSEPRACTITIONER
Sole proprietorYes
NPI enumeratedJuly 11, 2023
Last updated in NPPESJune 4, 2026
Certification dateJune 4, 2026

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Newark Wayne Community Hospital — 133 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Geneva