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

Mackenzie Blackwell, PMHNP-BC

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1407697105

Mackenzie Blackwell, PMHNP-BC is a Nurse Practitioner in Grandview, Washington. Qualified in 2021, 5 years ago. Practices with Prosser Public Hospital District of Benton County, a 111-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Colorado and Washington.

Years since qualifying
5
Licensed in
CO, WA
In the registry since
2024
Specialties on file
3
What do these letters mean?
PMHNP-BC — Psychiatric-Mental Health Nurse Practitioner, Board Certified
A board-certified psychiatric nurse practitioner.

See every abbreviation used in this directory →

Practice location Address checks out

1003 Wallace Way
Grandview, WA 98930-8805
Phone: (509) 203-1080
Show map & directions

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

Additional practice locations (1)

  • 11590 Ridgeline Dr Ste 130, Colorado Springs, CO 80921-3969 — (970) 508-8101

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence AP70067727 (WA)
Registered Nurse Taxonomy 163W00000X · Licence 1665211 (CO)
Psychiatric/Mental Health Nurse Practitioner Taxonomy 363LP0808X · Licence APN.1000580-NP (CO)

Record details

NPI number1407697105
Entity typeIndividual (Type 1)
GenderFemale
Credentials PMHNP-BC
Sole proprietorNo
NPI enumeratedJune 5, 2024
Last updated in NPPESMay 12, 2026
Certification dateMay 12, 2026

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Prosser Public Hospital District Of Benton County — 111 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Grandview