MACKENZIE LYNCH – Family Nurse Practitioner, NPI 1619775632

MACKENZIE LYNCH is a healthcare provider. based in Scott city, Missouri. specializing in NURSE PRACTITIONER. They hold a License No. 2025006360 (MO). The NPI Number for MACKENZIE LYNCH is 1619775632

Main info

Female
2 Years Of Experience
Accepts Medicare Assignment
Name
MACKENZIE LYNCH
NPI
1619775632
Phone
Not provided
Address
226 S MESSMER ST
Enumeration Date
5 March 2025
Last Update Date
5 March 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5732433115
Graduation Year
2024 (2 years ago)
PAC ID
6901321066
Group Practice PAC ID
9931007929
Professional Enrollment ID
I20250422000728
Address ID
MO637552907JA2130XBLVD401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience26
Completeness75
Years active:1State licenses:1Digital endpointsOther names

7,017 NURSE PRACTITIONER in MO

Provider Addresses for MACKENZIE LYNCH

  • 226 S MESSMER ST

    SCOTT CITY, MO 637801101

    Phone:

    Type: Mailing

  • 2130 E JACKSON BLVD

    JACKSON, MO 637552907

    Phone: (573) 243-8408

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2025-04-22

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
I20250422000728INurse PractitionerMOTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 63780)

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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: 9931007929View full group profile
NameSpecialtyState
-MO
-MO
-MO
O B S T E T R I C S/ G Y N E C O L O G YMO
Nurse PractitionerMO
Interventional Cardiology, Cardiovascular Disease (Cardiology), Internal MedicineMO
General SurgeryMO
Nurse PractitionerMO
-MO
-MO

Reviews

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Frequently asked questions

Is there an official ID for MACKENZIE LYNCH in U.S. healthcare records?
The official identifier for MACKENZIE LYNCH is NPI 1619775632.
Is MACKENZIE LYNCH shown as active in public data?
Registry records indicate MACKENZIE LYNCH maintains an active NPI.
What expertise is attributed to MACKENZIE LYNCH?
MACKENZIE LYNCH's specialty line reads Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Is MACKENZIE LYNCH located near Scott City?
MACKENZIE LYNCH currently maps to Scott City, Missouri in this extract.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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