Mckenzie Nikonovich, PMHNP-BC
NPI 1518810852 · Psychiatric/Mental Health Nurse Practitioner · Maryville, IL
Enrolled with Medicare as Practitioner - Nurse Practitioner · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Mckenzie Nikonovich, PMHNP-BC is a Psychiatric/Mental Health Nurse Practitioner provider in Maryville, IL (NPI 1518810852).
Provider details
- NPI number
- 1518810852
- Entity type
- Individual
- Primary specialty
- Psychiatric/Mental Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PMHNP-BC
- Sex
- Female
- Sole proprietor
- No
- License
- 209.034755 (IL)
Specialties & taxonomies
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
Under 1 yr in registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
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
Registry dates
- Enumerated
- 2026-02-17
- Last updated
- 2026-02-17
- Certified
- 2026-02-10
Frequently asked questions
- What is Mckenzie Nikonovich's NPI number?
- Mckenzie Nikonovich's National Provider Identifier (NPI) is 1518810852, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Mckenzie Nikonovich's specialty?
- Mckenzie Nikonovich is listed in the NPPES registry with a primary specialty of Psychiatric/Mental Health Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Mckenzie Nikonovich located?
- Mckenzie Nikonovich's practice location on file with NPPES is 6805 State Route 162 Ste 201, Maryville, IL 62062-8530.
- What is Mckenzie Nikonovich's phone number?
- The practice phone number listed in the NPPES registry for Mckenzie Nikonovich is (618) 288-5019.
- Does Mckenzie Nikonovich accept Medicare?
- Mckenzie Nikonovich is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Mckenzie Nikonovich's NPI active?
- Yes — Mckenzie Nikonovich's NPI (1518810852) is active in the NPPES registry as of the last update on 2026-02-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.