MEDICARE: MCKENZIE J FALCONE APRN-NP, DNP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LA2100X	Acute Care Nurse Practitioner	115411	NE

General Provider Information

NPI Number	:	1225862378
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MCKENZIE J FALCONE APRN-NP, DNP

Provider Business Mailing Address
First Line	:	PO BOX 24607
Second Line	:
City	:	OMAHA
State	:	NE
Zip	:	68124-0607
Country	:	US
Telephone Number	:	402-955-5400
Fax Number	:	402-955-3674

Provider Business Practice Location Address
First Line	:	8200 DODGE ST
Second Line	:
City	:	OMAHA
State	:	NE
Zip	:	68114-4113
Country	:	US
Telephone Number	:	402-955-4395
Fax Number	:	402-955-3972

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/30/2024
Last Update Date	:	04/06/2026

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