MS. LAUREN RAE MACKIE (CNP) – Family Nurse Practitioner, NPI 1689951014

MS. LAUREN RAE MACKIE (CNP) is a healthcare provider. based in Minnetonka, Minnesota. specializing in NURSE PRACTITIONER. They hold the professional credentials CNP. They hold a License No. COA.12806-NP (OH). The NPI Number for MS. LAUREN RAE MACKIE (CNP) is 1689951014

Main info

Female
5 Years Of Experience
Accepts Medicare Assignment
Name
MS. LAUREN RAE MACKIE (CNP)
NPI
1689951014
Phone
(330) 703-7643
Address
9900 BREN RD E
Enumeration Date
14 November 2011
Last Update Date
17 May 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3304548076
Graduation Year
2021 (5 years ago)
PAC ID
3678855947
Group Practice PAC ID
2668406059
Professional Enrollment ID
I20220719000220
Address ID
OH447101702CA2600XSWXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:14State licenses:1Digital endpointsOther names

5,720 NURSE PRACTITIONER in MN

Provider Addresses for MS. LAUREN RAE MACKIE (CNP)

  • 9900 BREN RD E

    MINNETONKA, MN 553439664

    Phone: (330) 703-7643

    Type: Location

  • 6133 SLAVIN CIR NW

    CANAL FULTON, OH 446148227

    Phone: (330) 704-4453

    Type: Mailing

  • 2600 6TH ST SW

    CANTON, OH 447101702

    Phone: (330) 363-6281

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $190.

Total Amount is formed as General ($190) + Research ($0) + Ownership ($0) = $190.

Last reported payment date: 2024-08-20 • Largest payer in this snapshot: Tempus AI, Inc ($96).

Total Amount

$190

General + Research + Ownership

Payments

3

Total payment records

General Amount

$190

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-08-20

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2022-07-19

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20220719000220INurse PractitionerOHTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes140106$0
99204New patient office or other outpatient visit, 45-59 minutes3030$0
View full utilization report →

Insurance plans in this area (ZIP 55343)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2668406059View full group profile
NameSpecialtyState
Internal Medicine, HospitalistOH
Internal Medicine, HospitalistOH
Endocrinology, Internal MedicineOH
N E U R O L O G YCO
Plastic And Reconstructive SurgeryOH
Gynecological OncologyFL
Family PracticeOH
Nurse PractitionerOH
Hospitalist, Internal MedicineOH
Nurse PractitionerOH

Reviews

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Frequently asked questions

Can I verify MS. LAUREN RAE MACKIE (CNP) with an NPI only?
You can start verification with NPI 1689951014 for MS. LAUREN RAE MACKIE (CNP), then check state licensing separately.
Can I rely on MS. LAUREN RAE MACKIE (CNP) being an active provider?
As of the registry snapshot, MS. LAUREN RAE MACKIE (CNP) is marked active.
What taxonomy line describes MS. LAUREN RAE MACKIE (CNP)?
For research purposes, treat MS. LAUREN RAE MACKIE (CNP) as Family Nurse Practitioner in this dataset. Clinical services aligned with this taxonomy classification.
What area does MS. LAUREN RAE MACKIE (CNP) serve?
MS. LAUREN RAE MACKIE (CNP)'s listing highlights Minnetonka, Minnesota; more addresses can appear in NPPES.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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