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MCKENZIE LYNN BLACKETER MSN, APRN, FNP
NPI 1295431112
Nurse Practitioner - Family in Campbellsville, KY

Active since February 02, 2023PECOS Enrolled
106 WINSTON WAY, CAMPBELLSVILLE, KY 42718(270) 789-0034(270) 789-0097 Get Directions Write a Review

NPPES record last updated: February 2, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Mckenzie Lynn Blacketer Msn, Aprn, Fnp NPPES

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

MCKENZIE LYNN BLACKETER MSN, APRN, FNP (NPI 1295431112) is an individual family provider in Campbellsville, Kentucky, licensed in Kentucky (3018723) and active in the NPI registry since February 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1295431112
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMCKENZIE LYNN BLACKETERCredential: MSN, APRN, FNP
Location Address106 WINSTON WAYCampbellsville, KY 42718-4953
Mailing Address505 Piney Grove SpurNancy, KY 42544-9068 · (606) 425-7093
Phone(270) 789-0034
Fax(270) 789-0097
Sole ProprietorYes
Enumeration DateFebruary 2, 2023
NPPES CertifiedFebruary 2, 2023
✔ NPI 1295431112 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in KY · 3018723
106 WINSTON WAY, Campbellsville, KY 42718
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mckenzie Lynn Blacketer Msn, Aprn, Fnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Mckenzie Blacketer reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

One Cross Health Clinic Inc
0.2 mi
Rural Health
106 WINSTON WAY
Campbellsville, KY 42718
  • Reassigned Medicare billing, Kentucky enrollment
  • 11 clinicians in this Medicare group
NPI 1942606454 (270) 789-0034
One Cross Community, Inc.
0.9 mi
Federally Qualified Health Center (FQHC)
106 WINSTON WAY
Campbellsville, KY 42718
  • Reassigned Medicare billing, Kentucky enrollment
  • 13 clinicians in this Medicare group
NPI 1447710314 (270) 789-0034

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 42718 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$82.24 typical visit price
range $52.76 – $162.27
Typical copayment $20.56 (range $13.19 – $40.56)
Most-billed visit code 99203
Established Patient
$93.94 typical visit price
range $16.53 – $131.99
Typical copayment $23.48 (range $4.13 – $32.99)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 12

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

JENNIFER AVERBECK DNP APRN FNP-BC
Nurse Practitioner (Family)
106 WINSTON WAY
CAMPBELLSVILLE, KY 42718
Taylor County (270) 789-0034
CHRISTOPHER HON LPCA
Counselor (Professional)
106 WINSTON WAY
CAMPBELLSVILLE, KY 42718
Taylor County (270) 789-0034
JENNIFER MICHELLE WHITAKER
Nurse Practitioner (Family)
106 WINSTON WAY
CAMPBELLSVILLE, KY 42718
Taylor County (270) 789-0034
KIMBERLY DAWN BOWEN ARNP
Nurse Practitioner (Family)
106 WINSTON WAY
CAMPBELLSVILLE, KY 42718
Taylor County (270) 789-0039
KIMBERLY ROSE MCKENNA ARNP
Nurse Practitioner (Family)
106 WINSTON WAY
CAMPBELLSVILLE, KY 42718
Taylor County (270) 789-0034
ONE CROSS COMMUNITY, INC.
Clinic/Center (Federally Qualified Health Center (FQHC))
106 WINSTON WAY
CAMPBELLSVILLE, KY 42718
Taylor County (270) 789-0034
CHRISTINA MALONEY
Nurse Practitioner (Family)
106 WINSTON WAY
CAMPBELLSVILLE, KY 42718
Taylor County (270) 789-0034
MEGAN YVETTE LANE APRN
Nurse Practitioner (Family)
106 WINSTON WAY
CAMPBELLSVILLE, KY 42718
Taylor County (270) 789-0034

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 Blacketer's NPI number?

The NPI number for Mckenzie Blacketer is 1295431112. It was assigned to this individual provider in the NPPES registry on February 2, 2023.

Where is Mckenzie Blacketer located?

Mckenzie Blacketer practices at 106 Winston Way, Campbellsville, KY 42718. The listed phone number is (270) 789-0034.

What is Mckenzie Blacketer's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Mckenzie Blacketer enrolled in Medicare?

Yes. Mckenzie Blacketer is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Mckenzie Blacketer's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mckenzie Blacketer reassigns Medicare benefits to 2 organizations: One Cross Health Clinic Inc (Campbellsville, KY) and One Cross Community, Inc. (Campbellsville, KY). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Mckenzie Blacketer's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mckenzie Blacketer accept?

Health plans from Anthem Blue Cross and Blue Shield list Mckenzie Blacketer as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Mckenzie Blacketer was last updated on February 2, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.