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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.

MACKENZIE BROEREN APRN, PMHNP-BC
NPI 1407533672
Nurse Practitioner - Psychiatric/Mental Health in Appleton, WI

Active since June 29, 2023PECOS Enrolled
5471 W WATERFORD LN, APPLETON, WI 54913(920) 731-7445(920) 731-7490 Get Directions Write a Review

NPPES record last updated: September 3, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 3, 2026, May 5, 2025, Jul 3, 2024 and 1 more (4 updates tracked since 2024).

About Mackenzie Broeren Aprn, Pmhnp-bc NPPES

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

MACKENZIE BROEREN APRN, PMHNP-BC (NPI 1407533672) is an individual psychiatric/mental health provider in Appleton, Wisconsin, licensed in Wisconsin (14115-33) and active in the NPI registry since June 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1407533672
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameMACKENZIE BROERENCredential: APRN, PMHNP-BC
Location Address5471 W WATERFORD LNAppleton, WI 54913-8510
Mailing Address119 N Mccarthy Rd Ste TAppleton, WI 54913-9111 · (920) 750-6374 · Fax (920) 404-2351
Phone(920) 731-7445
Fax(920) 731-7490
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateJune 29, 2023
Last NPPES UpdateSeptember 3, 20264 updates tracked since enumeration
NPPES CertifiedSeptember 3, 2026
✔ NPI 1407533672 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in WI · 14115-33
Also ListedRegistered NurseTaxonomy 163W00000X · License 229878-30 (WI)
Also ListedNurse PractitionerTaxonomy 363L00000X · License 14115-33 (WI)
5471 W WATERFORD LN, Appleton, WI 54913
Open in Google Maps ↗

Other Identifiers 2

Medicaid100243971WI
Medicaid100279786WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource (Common Ground Healthcare), Network Health and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mackenzie Broeren Aprn, Pmhnp-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5496115313
PECOS Enrollment IDI20230724001843
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 Mackenzie Broeren reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Partnership Community Health Center, Inc
0.1 mi
Federally Qualified Health Center (FQHC)
5337 W GRANDE MARKET DR
Appleton, WI 54913
  • Reassigned Medicare billing, Wisconsin enrollment
  • 11 clinicians in this Medicare group
NPI 1225074008 (920) 731-7445
Milwaukee Health Services Inc
88 mi
Public Health or Welfare
2555 N MARTIN LUTHER KING DR
Milwaukee, WI 53212
  • Reassigned Medicare billing, Wisconsin enrollment
  • 86 clinicians in this Medicare group
NPI 1740516186 (414) 372-8080

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 54913 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
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$95.41 typical visit price
range $17.40 – $133.76
Typical copayment $23.85 (range $4.35 – $33.44)
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 15

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

VICKI LYNN AHO
Registered Nurse (Addiction (Substance Use Disorder))
5471 W WATERFORD LN
APPLETON, WI 54913
Outagamie County (920) 731-7445
MARIA E CRIPE APRN
Nurse Practitioner (Family)
5471 W WATERFORD LN
APPLETON, WI 54913
Outagamie County (920) 731-7445
KAREN W BEUTLER MD
Family Medicine
5471 W WATERFORD LN
APPLETON, WI 54913
Outagamie County (920) 731-7445
KRISTIN KNOTT
Radiology (Body Imaging)
5471 W WATERFORD LN
APPLETON, WI 54913
Outagamie County (920) 731-7445
MICHAL F SLOVICK MD
Family Medicine
5471 W WATERFORD LN
APPLETON, WI 54913
Outagamie County (920) 731-7445
PARTNERSHIP COMMUNITY HEALTH CENTER, INC
Clinic/Center (Federally Qualified Health Center (FQHC))
5471 W WATERFORD LN
APPLETON, WI 54913
Outagamie County (920) 731-7445
IRIS N TORRES MD
Family Medicine
5471 W WATERFORD LN
APPLETON, WI 54913
Outagamie County (920) 731-7445
JOANNE M STEPHANY NP
Nurse Practitioner
5471 W WATERFORD LN
APPLETON, WI 54913
Outagamie County (920) 731-7445

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 Mackenzie Broeren's NPI number?

The NPI number for Mackenzie Broeren is 1407533672. It was assigned to this individual provider in the NPPES registry on June 29, 2023.

Where is Mackenzie Broeren located?

Mackenzie Broeren practices at 5471 W Waterford Ln, Appleton, WI 54913. The listed phone number is (920) 731-7445.

What is Mackenzie Broeren's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Mackenzie Broeren enrolled in Medicare?

Yes. Mackenzie Broeren is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Mackenzie Broeren's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mackenzie Broeren reassigns Medicare benefits to 2 organizations: Partnership Community Health Center, Inc (Appleton, WI) and Milwaukee Health Services Inc (Milwaukee, WI). 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 Mackenzie Broeren's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mackenzie Broeren accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource (Common Ground Healthcare), Network Health and UnitedHealthcare list Mackenzie Broeren 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 Mackenzie Broeren was last updated on September 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 48 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.