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MACKENZIE LYN BROSSART LCSW
NPI 1891235255
Social Worker in Dickinson, ND

Active since March 06, 2017PECOS Enrolled
1750 MARKET DR STE H, DICKINSON, ND 58601(701) 456-1221(888) 720-5313 Get Directions Write a Review

NPPES record last updated: May 19, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 19, 2025, May 15, 2025, Aug 4, 2022 and 1 more (4 updates tracked since 2018).

About Mackenzie Lyn Brossart Lcsw NPPES

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

MACKENZIE LYN BROSSART LCSW (NPI 1891235255) is an individual social worker in Dickinson, North Dakota, licensed in North Dakota (5427) and active in the NPI registry since March 2017. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1891235255
Entity TypeIndividualFemale
Primary Taxonomy104100000X
Provider Legal NameMACKENZIE LYN BROSSARTCredential: LCSW
Location Address1750 MARKET DR STE HDickinson, ND 58601-6181
Mailing Address387 15th St W # 117Dickinson, ND 58601-3017 · (701) 456-1221 · Fax (888) 720-5313
Phone(701) 456-1221
Fax(888) 720-5313
Sole ProprietorNo
Enumeration DateMarch 6, 2017
Last NPPES UpdateMay 19, 20254 updates tracked since enumeration
NPPES CertifiedMay 19, 2025
✔ NPI 1891235255 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers
Taxonomy Code104100000X
License✔ Licensed in ND · 5427
Definition
A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.
1750 MARKET DR STE H, Dickinson, ND 58601
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Other Names 1

Former Name (1)Mackenzie Lyn Davis

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of North Dakota, Sanford Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mackenzie Lyn Brossart Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignments

2

Medicare enrollment records show Mackenzie Brossart reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Provider Profile
Same address
Psychiatric/Mental Health
1750 MARKET DR STE H
Dickinson, ND 58601
  • Reassigned Medicare billing, North Dakota enrollment
NPI 1043824501 (701) 456-1221
Mindsets Matter
2.2 mi
Clinical
42 SIMS ST STE 11
Dickinson, ND 58601
  • Reassigned Medicare billing, North Dakota enrollment
NPI 1497619001 (701) 495-3670

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

Other Providers at the Same Location NPPES 2

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

CHRISTINA JEAN SHOCKLEY FNP-C, PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
1750 MARKET DR STE H
DICKINSON, ND 58601
Stark County (701) 456-1221
SHARALYN JOHNS LMSW
Social Worker
1750 MARKET DR STE H
DICKINSON, ND 58601
Stark County (701) 456-1221

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 Brossart's NPI number?

The NPI number for Mackenzie Brossart is 1891235255. It was assigned to this individual provider in the NPPES registry on March 6, 2017. The provider is also known as Mackenzie Lyn Davis.

Where is Mackenzie Brossart located?

Mackenzie Brossart practices at 1750 Market Dr Ste H, Dickinson, ND 58601. The listed phone number is (701) 456-1221.

What is Mackenzie Brossart's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

Is Mackenzie Brossart enrolled in Medicare?

Yes. Mackenzie Brossart is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Mackenzie Brossart's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mackenzie Brossart reassigns Medicare benefits to 2 organizations: (Dickinson, ND) and Mindsets Matter (Dickinson, ND). Each 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 Brossart's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mackenzie Brossart accept?

Health plans from Blue Cross Blue Shield of North Dakota and Sanford Health Plan list Mackenzie Brossart 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 Brossart was last updated on May 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.