Mackenzie Blackwell, PMHNP-BC - Medicare Nurse Practitioner in Grandview, WA

Mackenzie Blackwell, PMHNP-BC is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Grandview, Washington. She graduated from nursing school in 2021 and has 5 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Prosser Public Hospital District Of Benton County, Community Medical Group Llc and her current practice location is 1003 Wallace Way, Grandview, Washington. You can reach out to her office (for appointments etc.) via phone at (509) 203-1080.

Mackenzie Blackwell is licensed to practice in Washington (license number AP70067727) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1407697105.

Contact Information

Mackenzie Blackwell, PMHNP-BC
1003 Wallace Way,
Grandview, WA 98930-8805
(509) 203-1080
Not Available

Map and Direction




Provider's Profile

Full NameMackenzie Blackwell
GenderFemale
SpecialityNurse Practitioner
Experience5 Years
Location1003 Wallace Way, Grandview, Washington
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Mackenzie Blackwell graduated from nursing school in 2021
  NPI Data:
  • NPI Number: 1407697105
  • Provider Enumeration Date: 06/05/2024
  • Last Update Date: 05/12/2026
  Medicare PECOS Information:
  • PECOS PAC ID: 7618498478
  • Enrollment ID: I20260331003148

Medical Identifiers

Medical identifiers for Mackenzie Blackwell such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1407697105NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP0808XNurse Practitioner - Psychiatric/mental Health AP70067727 (Washington)Primary
163W00000XRegistered Nurse 1665211 (Colorado)Secondary
363LP0808XNurse Practitioner - Psychiatric/mental Health APN.1000580-NP (Colorado)Secondary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Prosser Public Hospital District Of Benton County670978787288
Community Medical Group Llc1052612785108

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mackenzie Blackwell is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mackenzie Blackwell, PMHNP-BC
11590 Ridgeline Dr Ste 130,
Colorado Springs, CO 80921-3969

Ph: (970) 508-8101
Mackenzie Blackwell, PMHNP-BC
1003 Wallace Way,
Grandview, WA 98930-8805

Ph: (509) 203-1080

Reviews and Comments


Nurse Practitioner Nurses in Grandview, WA

Sandra Bravo, ARNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1000 Wallace Way, Grandview, WA 98930
Phone: 509-439-1064    
Ms. Kimberly G Sales, ARNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 208 N Euclid Rd, Grandview, WA 98930
Phone: 509-882-1855    
Joseph Isiah Penaflor, DNP, PMHNP-BC
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 222 E 2nd St, Grandview, WA 98930
Phone: 509-203-6501    Fax: 509-203-6504
Careeta-jenee Anique Williams, ARNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 208 N Euclid St, Grandview, WA 98930
Phone: 678-522-1504    
Erica Garza, ARNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1003 Wallace Way, Grandview, WA 98930
Phone: 509-203-1080    Fax: 509-203-1077
Mrs. Desaree Wancho, APRN
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 222 E 2nd St, Grandview, WA 98930
Phone: 509-203-6501    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.