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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MCKENZIE RAQUEL MCCLELLAND AG-ACNP
NPI 1073013645
Nurse Practitioner - Adult Health in Brockton, MA

Active since February 20, 2018
940 BELMONT ST, BROCKTON, MA 02301(774) 826-1424 Get Directions Write a Review

NPPES record last updated: September 26, 2026. Verified against the NPPES registry weekly; last sync: October 11, 2026.

Record update history: Sep 26, 2026, Jun 16, 2023, Feb 20, 2018 (3 updates tracked since 2018).

About Mckenzie Raquel Mcclelland Ag-acnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MCKENZIE RAQUEL MCCLELLAND AG-ACNP (NPI 1073013645) is an individual adult health provider in Brockton, Massachusetts, licensed in Michigan (4704343121) and active in the NPI registry since February 2018.

NPPES Registry Identity

NPI1073013645
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameMCKENZIE RAQUEL MCCLELLANDCredential: AG-ACNP
Location Address940 BELMONT STBrockton, MA 02301-5596
Mailing Address940 Belmont StBrockton, MA 02301-5596 · (774) 826-1424
Phone(774) 826-1424
Sole ProprietorYes
Enumeration DateFebruary 20, 2018
Last NPPES UpdateSeptember 26, 20263 updates tracked since enumeration
NPPES CertifiedSeptember 26, 2026
✔ NPI 1073013645 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
Licenses✔ Licensed in MI · 4704343121✔ Licensed in AZ · AP10809
Also ListedNurse Practitioner · Acute CareTaxonomy 363LA2100X · License 4704343121 (MI), AP10809 (AZ)
940 BELMONT ST, Brockton, MA 02301
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ERIN ELIZABETH SULLIVAN
Social Worker (Clinical)
940 BELMONT ST
BROCKTON, MA 02301
Plymouth County (508) 583-4500
DR. JENI ELAINE NORSTROM PHARMD
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
940 BELMONT ST
BROCKTON, MA 02301
Plymouth County (774) 826-2188
JOSEPH KEENE
Licensed Practical Nurse
940 BELMONT ST
BROCKTON, MA 02301
Plymouth County (774) 826-2160
MRS. ROBIN PARENTE R.N.
Registered Nurse (Critical Care Medicine)
940 BELMONT ST
BROCKTON, MA 02301
Plymouth County (774) 826-1194
DANIELLE NIXON LCSW
Case Manager/Care Coordinator
940 BELMONT ST
BROCKTON, MA 02301
Plymouth County (508) 583-4500
ANAIS LUGO-GUERCIO
Occupational Therapist
940 BELMONT ST
BROCKTON, MA 02301
Plymouth County (508) 583-4500
MRS. TRUDY ROSE RADVILLE OTR/L
Occupational Therapist
940 BELMONT ST
BROCKTON, MA 02301
Plymouth County (508) 583-4500
DR. PEGGY MENTOR MD
Family Medicine (Geriatric Medicine)
940 BELMONT ST
BROCKTON, MA 02301
Plymouth County (857) 364-4418

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mckenzie Mcclelland's NPI number?

The NPI number for Mckenzie Mcclelland is 1073013645. It was assigned to this individual provider in the NPPES registry on February 20, 2018.

Where is Mckenzie Mcclelland located?

Mckenzie Mcclelland practices at 940 Belmont St, Brockton, MA 02301. The listed phone number is (774) 826-1424.

What is Mckenzie Mcclelland's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

When was this NPI record last updated?

The NPPES record for Mckenzie Mcclelland was last updated on September 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.