MACKENZIE BROEREN APNP, PMHNP-BC - NPI 1407533672 - Nurse Practitioner in Appleton, WI

Q: 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.

Q: 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.

Q: When was this NPI record last updated?

The NPPES record for Mackenzie Broeren was last updated on May 5, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Mackenzie Broeren Apnp, Pmhnp-bc NPPES

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

MACKENZIE BROEREN APNP, 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: APNP, PMHNP-BC

Location Address5471 W WATERFORD LNAppleton, WI 54913-8510

Mailing Address5337 W Grande Market DrAppleton, WI 54913-8442 · (920) 731-7445 · Fax (920) 404-2351

Phone(920) 731-7445

Fax(920) 882-0437

Sole ProprietorNo

Medical School CMSOtherGraduated 2023

Enumeration DateJune 29, 2023

Last NPPES UpdateMay 5, 20253 updates tracked since enumeration

NPPES CertifiedMay 5, 2025

✔ 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

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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), Medica and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mackenzie Broeren Apnp, 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.

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 12

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))