MISS MACKENZIE LEE ICE MS, APRN, PMHNP-BC
NPI 1730671405
Nurse Practitioner - Psychiatric/Mental Health in Lorain, OH

Active since May 30, 2018PECOS EnrolledAccepts Medicare Assignment
6140 S BROADWAY, LORAIN, OH 44053(440) 233-7232 Get Directions Write a Review

NPPES record last updated: December 6, 2018. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Dec 6, 2018, Jul 18, 2018, Jul 2, 2018 (3 updates tracked since 2018).

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

NPI1730671405
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameMISS MACKENZIE LEE ICECredential: MS, APRN, PMHNP-BC
Location Address6140 S BROADWAYLorain, OH 44053
Mailing Address6140 S BroadwayLorain, OH 44053-3821
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateMay 30, 2018
Last NPPES UpdateDecember 6, 20183 updates tracked since enumeration
NPI 1730671405 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License Licensed in OH · 023025
Also ListedRegistered NurseTaxonomy 163W00000X · License 435143 (OH)
6140 S BROADWAY, Lorain, OH 44053

Accepted Insurance

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

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.

PECOS PAC ID9234473190
PECOS Enrollment IDI20181203003456
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.

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
51 services26 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
31 services18 patients

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.

New Patient
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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 20

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

Case Manager/Care Coordinator
6140 S BROADWAY
LORAIN, OH 44053
Case Manager/Care Coordinator
6140 S BROADWAY
LORAIN, OH 44053
Social Worker
6140 S BROADWAY
LORAIN, OH 44053
Social Worker
6140 S BROADWAY
LORAIN, OH 44053
Social Worker
6140 S BROADWAY
LORAIN, OH 44053
Licensed Practical Nurse
6140 S BROADWAY
LORAIN, OH 44053
Social Worker
6140 S BROADWAY
LORAIN, OH 44053
Case Manager/Care Coordinator
6140 S BROADWAY
LORAIN, OH 44053

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.

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.