MRS. MCKENZIE MACK LAKE FNP
NPI 1346793445
Nurse Practitioner - Family in Rio Rancho, NM
About Mrs. Mckenzie Mack Lake Fnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. MCKENZIE MACK LAKE FNP (NPI 1346793445) is an individual family provider in Rio Rancho, New Mexico, licensed in New Mexico (CNP-02964) and active in the NPI registry since July 2016. She is enrolled in Medicare PECOS, is affiliated with Unm Hospital, and is a graduate of Other (2016).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Mrs. Mckenzie Mack Lake 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.
Medicare Billing Reassignments
2Medicare enrollment records show Mckenzie Lake reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Albuquerque, NM 87106
- Reassigned Medicare billing, New Mexico enrollment
- 2,105 clinicians in this Medicare group
Albuquerque, NM 87106
- Reassigned Medicare billing, New Mexico enrollment
- 505 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 3
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Unm Hospital
Acute Care Hospitals · Albuquerque, NMPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 87144 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Referred Medical Equipment & Supplies CMS DME claims 2
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
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.
RIO RANCHO, NM 87144
RIO RANCHO, NM 87144
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 Lake's NPI number?
The NPI number for Mckenzie Lake is 1346793445. It was assigned to this individual provider in the NPPES registry on July 26, 2016.
Where is Mckenzie Lake located?
Mckenzie Lake practices at 3001 Broadmoor Blvd NE, Rio Rancho, NM 87144. The listed phone number is (505) 550-9863.
What is Mckenzie Lake's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Mckenzie Lake enrolled in Medicare?
Yes. Mckenzie Lake 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.
Which organizations bill Medicare for Mckenzie Lake's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Mckenzie Lake reassigns Medicare benefits to 2 organizations: Unm Medical Group Inc (Albuquerque, NM) and Unm Hospital (Albuquerque, NM). 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 Lake's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Mckenzie Lake affiliated with any hospitals?
According to CMS data, Mckenzie Lake is affiliated with Unm Hospital.
When was this NPI record last updated?
The NPPES record for Mckenzie Lake was last updated on October 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.
# Mrs. Mckenzie Mack Lake, FNP · NPI 1346793445
Family physician in Rio Rancho, New Mexico. Individual provider, active in the CMS NPPES registry since July 26, 2016.
## Identity
- **NPI:** 1346793445 (Entity type: Individual)
- **Enumerated:** July 26, 2016
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** CNP-02964 (New Mexico)
- **Sole proprietor:** No
## Practice location
- **Address:** 3001 BROADMOOR BLVD NE, Rio Rancho, NM 87144-2100
- **Phone:** (505) 550-9863
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Unm Medical Group Inc (NPI 1831218627, Albuquerque, NM); Unm Hospital (NPI 1689747552, Albuquerque, NM) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2016
## Record status
- **NPPES last updated:** October 2, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1346793445) · Data from the CMS NPPES public registry.