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

Active since February 02, 2023PECOS EnrolledAccepts Medicare Assignment
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: September 06, 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, is affiliated with Taylor Regional Hospital, and is a graduate of Other (2022).

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
Medical School CMSOtherGraduated 2022
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 ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mckenzie Lynn Blacketer Msn, Aprn, Fnp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2163865445
PECOS Enrollment IDI20240205000975
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.

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Taylor Regional Hospital

Acute Care Hospitals · Campbellsville, KY
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number180087
Location1700 Old Lebanon RoadCampbellsville, KY 42718 · Taylor County
Emergency services

Russell County Hospital

Critical Access Hospitals · Russell Springs, KY
OwnershipGovernment - Local
CMS Certification Number181330
Location153 Dowell RoadRussell Springs, KY 42642 · Russell County
Emergency services

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 11

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
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
PERRY DAVIS BABCOCK 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 system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Mckenzie Blacketer affiliated with any hospitals?

According to CMS data, Mckenzie Blacketer is affiliated with Taylor Regional Hospital and Russell County Hospital.

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.