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

Mackenzie C Moe, APRN

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1992528376

Mackenzie C Moe, APRN is a Nurse Practitioner in Eden Prairie, Minnesota. Qualified in 2024, 2 years ago. Practices with Family Innovations Inc, a 93-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
2
Licensed in
MN
In the registry since
2024
What do these letters mean?
APRN — Advanced Practice Registered Nurse
The umbrella licence covering nurse practitioners, midwives, anaesthetists and clinical nurse specialists.

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Practice location Address checks out

7525 Mitchell Rd Ste 100
Eden Prairie, MN 55344-1900
Phone: (612) 915-0049
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 120 E Main St, Mankato, MN 56001-3501 — (952) 520-2315

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 12267 (MN)

Record details

NPI number1992528376
Entity typeIndividual (Type 1)
GenderFemale
Credentials APRN
Sole proprietorYes
NPI enumeratedNovember 5, 2024
Last updated in NPPESJuly 9, 2025
Certification dateJuly 9, 2025
Mailing address4800 N Scottsdale Rd Ste 2500, Scottsdale, AZ 85251-7630

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Family Innovations Inc — 93 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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