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MACKENZIE NOELLE FORD APRN
NPI 1790501609
Nurse Practitioner - Family in Wagoner, OK

Active since November 25, 2024PECOS EnrolledAccepts Medicare Assignment
1103 W CHEROKEE ST, WAGONER, OK 74467(918) 509-4440(918) 509-4677 Get Directions Write a Review

NPPES record last updated: September 18, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mackenzie Noelle Ford Aprn NPPES

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

MACKENZIE NOELLE FORD APRN (NPI 1790501609) is an individual family provider in Wagoner, Oklahoma, licensed in Oklahoma (220996) and active in the NPI registry since November 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1790501609
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMACKENZIE NOELLE FORDCredential: APRN
Location Address1103 W CHEROKEE STWagoner, OK 74467-4621
Mailing Address1103 W Cherokee StWagoner, OK 74467-4621 · (918) 509-4440 · Fax (918) 509-4677
Phone(918) 509-4440
Fax(918) 509-4677
Sole ProprietorYes
Medical School CMSOtherGraduated 2024
Enumeration DateNovember 25, 2024
Last NPPES UpdateSeptember 18, 2025
NPPES CertifiedSeptember 18, 2025
✔ NPI 1790501609 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in OK · 220996
1103 W CHEROKEE ST, Wagoner, OK 74467
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Oklahoma.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

Mackenzie Noelle Ford Aprn 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 ID42702847
PECOS Enrollment IDI20251119003913
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 74467 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
$82.46 typical visit price
range $53.00 – $162.61
Typical copayment $20.61 (range $13.25 – $40.65)
Most-billed visit code 99203
Established Patient
$94.27 typical visit price
range $16.68 – $132.40
Typical copayment $23.56 (range $4.17 – $33.10)
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 3

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

JOHN BELK FAMILY PRACTICE PLLC
Family Medicine
1103 W CHEROKEE ST
WAGONER, OK 74467
Wagoner County (580) 647-6594
DR. RICHARD GREEN ALLEN D.O.
Family Medicine
1103 W CHEROKEE ST
WAGONER, OK 74467
Wagoner County (918) 485-3182
JOHN BELK M.D.
Family Medicine
1103 W CHEROKEE ST
WAGONER, OK 74467
Wagoner County (918) 485-3182

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 Ford's NPI number?

The NPI number for Mackenzie Ford is 1790501609. It was assigned to this individual provider in the NPPES registry on November 25, 2024.

Where is Mackenzie Ford located?

Mackenzie Ford practices at 1103 W Cherokee St, Wagoner, OK 74467. The listed phone number is (918) 509-4440.

What is Mackenzie Ford's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Mackenzie Ford enrolled in Medicare?

Yes. Mackenzie Ford 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 Ford accept?

Health plans from Blue Cross and Blue Shield of Oklahoma list Mackenzie Ford 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 Ford was last updated on September 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.