MACKENZIE BLACKBURN APRN, CNP
NPI 1740005511
Nurse Practitioner in Warrenville, IL

Q: What is Mackenzie Blackburn's NPI number?

The NPI number for Mackenzie Blackburn is 1740005511. It was assigned to this individual provider in the NPPES registry on November 18, 2024. The provider is also known as Mackenzie Dirmish.

Q: What is Mackenzie Blackburn's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Active since November 18, 2024PECOS EnrolledAccepts Medicare Assignment

4405 WEAVER PKWY, WARRENVILLE, IL 60555(630) 352-5450(630) 352-5499 Get Directions Write a Review

NPPES record last updated: March 20, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 20, 2025, Feb 4, 2025, Nov 18, 2024 (3 updates tracked since 2024).

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About Mackenzie Blackburn Aprn, Cnp NPPES

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

MACKENZIE BLACKBURN APRN, CNP (NPI 1740005511) is an individual nurse practitioner in Warrenville, Illinois, licensed in Illinois (209.030678) and active in the NPI registry since November 2024. She is enrolled in Medicare PECOS, is affiliated with Northwestern Medicine Central Dupage Hospital, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1740005511

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameMACKENZIE BLACKBURNCredential: APRN, CNP

Location Address4405 WEAVER PKWYWarrenville, IL 60555-3269

Mailing Address4405 Weaver PkwyWarrenville, IL 60555-3269 · (630) 352-5450 · Fax (630) 352-5499

Phone(630) 352-5450

Fax(630) 352-5499

Sole ProprietorNo

Medical School CMSOtherGraduated 2024

Enumeration DateNovember 18, 2024

Last NPPES UpdateMarch 20, 20253 updates tracked since enumeration

NPPES CertifiedMarch 20, 2025

✔ NPI 1740005511 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in IL · 209.030678

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

4405 WEAVER PKWY, Warrenville, IL 60555

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Other Names 1

Former Name (1)Mackenzie Dirmish

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

Mackenzie Blackburn Aprn, Cnp 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 ID1153851845

PECOS Enrollment IDI20250211001315

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 Reassignment

Medicare enrollment records show Mackenzie Blackburn reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Northwestern Medical Faculty Foundation

17 mi

Multi-Specialty

DEPT 5777
Carol Stream, IL 60122

Reassigned Medicare billing, Illinois enrollment
4,817 clinicians in this Medicare group

NPI 1346235314 (855) 694-2866

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Northwestern Medicine Central Dupage Hospital

Acute Care Hospitals · Winfield, IL

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number140242

Location25 North Winfield RoadWinfield, IL 60190 · Du Page County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60555 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

$93.02 typical visit price

range $59.81 – $181.38

Typical copayment $23.25 (range $14.95 – $45.34)

Most-billed visit code 99203

Established Patient

$105.07 typical visit price

range $19.15 – $147.12

Typical copayment $26.26 (range $4.78 – $36.78)

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.

CARLENE PORTER APN.

Nurse Practitioner