Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mackenzie Bacovin, APRN

Individual provider Nurse Practitioner · NPI 1073243754

Mackenzie Bacovin, APRN is a Nurse Practitioner in Lawrenceburg, Indiana. Qualified in 2022, 4 years ago. Practices with Summit Medical Group Inc, a 799-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Indiana and Kentucky.

Years since qualifying
4
Licensed in
IN, KY
In the registry since
2022
Specialties on file
2
What do these letters mean?
APRN — Advanced Practice Registered Nurse
The umbrella licence covering nurse practitioners, midwives, anaesthetists and clinical nurse specialists.

See every abbreviation used in this directory →

Practice location Address checks out

606 Wilson Creek Rd
Lawrenceburg, IN 47025-1095
Phone: (859) 757-4446
Fax: (812) 537-4979
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 651 Centre View Blvd, Crestview Hills, KY 41017-5423 — (859) 757-4446

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 71013176A (IN)
Nurse Practitioner Taxonomy 363L00000X · Licence 3017918 (KY)

Record details

NPI number1073243754
Entity typeIndividual (Type 1)
GenderFemale
Credentials APRN
Sole proprietorNo
NPI enumeratedJune 15, 2022
Last updated in NPPESDecember 30, 2024
Certification dateDecember 30, 2024
Mailing addressPo Box 635283, Cincinnati, OH 45263-5283

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Summit Medical Group Inc — 799 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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