Individual Healthcare Provider
Mckenzie Brubaker, FNP
Provider's NPPES record last updated: May 12, 2025
Overview
- Entity Type
- Individual Healthcare Provider
- NPI
- 1407690282
- Primary Specialty
- Nurse Practitioner — Family
- Practice Location
- Pulaski, New York
- Sole Proprietor
- No
Federal Screening
NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.
List of Excluded Individuals/Entities (LEIE)
HHS Office of Inspector General
No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.
- Source data
- September 10, 2026
- Records indexed
- 84,001
- Screened
- Sep 18, 2026, 8:03 AM UTC
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
SAM.gov Exclusions
U.S. General Services Administration
SAM.gov Exclusions was not checked.
SAM.gov screening is not configured on this deployment. No SAM check has been performed.
- Screened
- Not checked
This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
Searches OIG LEIE and SAM.gov by name and reviews every potential match.
Specialties & Taxonomies
- Primary
Nurse Practitioner
Family
Physician Assistants & Advanced Practice Nursing Providers
Definition to come...
Taxonomy code 363LF0000X
Provider-Reported License Information
- Nurse Practitioner (New York)
- 354357
Practice Locations
Practice Location
61 Delano St
Pulaski, New York 13142-1400
Phone: (315) 298-6564
Additional Practice Location
510 S 4th St Ste 600
Fulton, New York 13069-2952
Phone: (315) 598-4790
Fax: (315) 593-6195
Additional Practice Location
10 Carlton Dr
Parish, New York 13131-3308
Phone: (315) 625-4388
Fax: (315) 625-4535
Additional Practice Location
7 Bridge St
Phoenix, New York 13135-1906
Phone: (315) 695-4700
Fax: (315) 695-4706
Additional Practice Location
5856 Scenic Ave
Mexico, New York 13114-3012
Phone: (315) 963-4133
Fax: (315) 963-4960
Additional Practice Location
3045 East Ave Ste G400
Central Square, New York 13036-2611
Phone: (315) 675-9200
Fax: (315) 630-3168
Additional Practice Location
120 E 1st St
Oswego, New York 13126-2111
Phone: (315) 342-0880
Fax: (315) 593-6195
Record Information
- Enumeration Date
- June 25, 2024
- Provider's NPPES Record Last Updated
- May 12, 2025
- Certification Date
- May 12, 2025
- NPISignal NPPES Dataset
- August 2026
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