Mackenzie Blackwell, PMHNP-BC
NPI 1407697105 · Psychiatric/Mental Health Nurse Practitioner · Grandview, WA
Enrolled with Medicare as Practitioner - Nurse Practitioner · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Mackenzie Blackwell, PMHNP-BC is a Psychiatric/Mental Health Nurse Practitioner provider in Grandview, WA (NPI 1407697105).
Provider details
- NPI number
- 1407697105
- Entity type
- Individual
- Primary specialty
- Psychiatric/Mental Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PMHNP-BC
- Sex
- Female
- Sole proprietor
- No
- License
- AP70067727 (WA)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Nursing Service Providers
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (1)
- 11590 Ridgeline Dr Ste 130Colorado Springs, CO 80921-3969Phone: (970) 508-8101
Registry dates
- Enumerated
- 2024-06-05
- Last updated
- 2026-05-12
- Certified
- 2026-05-12
Frequently asked questions
- What is Mackenzie Blackwell's NPI number?
- Mackenzie Blackwell's National Provider Identifier (NPI) is 1407697105, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Mackenzie Blackwell's specialty?
- Mackenzie Blackwell is listed in the NPPES registry with a primary specialty of Psychiatric/Mental Health Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Mackenzie Blackwell located?
- Mackenzie Blackwell's practice location on file with NPPES is 1003 Wallace Way, Grandview, WA 98930-8805.
- What is Mackenzie Blackwell's phone number?
- The practice phone number listed in the NPPES registry for Mackenzie Blackwell is (509) 203-1080.
- Does Mackenzie Blackwell accept Medicare?
- Mackenzie Blackwell is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Mackenzie Blackwell's NPI active?
- Yes — Mackenzie Blackwell's NPI (1407697105) is active in the NPPES registry as of the last update on 2026-05-12.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.