MISS MACKENZIE LEE ICE MS, APRN, PMHNP-BC
NPI 1730671405
Nurse Practitioner - Psychiatric/Mental Health in Lorain, OH
About Miss Mackenzie Lee Ice Ms, Aprn, Pmhnp-bc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MISS MACKENZIE LEE ICE MS, APRN, PMHNP-BC (NPI 1730671405) is an individual psychiatric/mental health provider in Lorain, Ohio, licensed in Ohio (023025) and active in the NPI registry since May 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2018).
NPPES Registry Identity
Specialties & Licenses 2
Accepted Insurance
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
Miss Mackenzie Lee Ice Ms, Aprn, Pmhnp-bc 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 Reassignment
Medicare enrollment records show Mackenzie Ice reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Lorain, OH 44053
- Reassigned Medicare billing, Ohio enrollment
- 70 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 2
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 44053 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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 Ice's NPI number?
The NPI number for Mackenzie Ice is 1730671405. It was assigned to this individual provider in the NPPES registry on May 30, 2018.
Where is Mackenzie Ice located?
Mackenzie Ice practices at 6140 S Broadway, Lorain, OH 44053. The listed phone number is (440) 233-7232.
What is Mackenzie Ice's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Mackenzie Ice enrolled in Medicare?
Yes. Mackenzie Ice 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 organization bills Medicare for Mackenzie Ice's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Mackenzie Ice reassigns Medicare benefits to Riveon Mental Health And Recovery (Lorain, OH). The 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 Ice's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Mackenzie Ice accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, CareSource and MedMutual list Mackenzie Ice 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 Ice was last updated on December 6, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.
# Miss Mackenzie Lee Ice, MS, APRN, PMHNP-BC · NPI 1730671405
Psychiatric/Mental Health physician in Lorain, Ohio. Individual provider, active in the CMS NPPES registry since May 30, 2018.
## Identity
- **NPI:** 1730671405 (Entity type: Individual)
- **Enumerated:** May 30, 2018
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** 023025 (Ohio)
- **Sole proprietor:** No
## Practice location
- **Address:** 6140 S BROADWAY, Lorain, OH 44053
- **Phone:** (440) 233-7232
## 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:** Riveon Mental Health And Recovery (NPI 1376234914, Lorain, OH), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2018
## Record status
- **NPPES last updated:** December 6, 2018
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Source: [NPI Profile](https://npiprofile.com/npi/1730671405) · Data from the CMS NPPES public registry.