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

Mackenzie Gray

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1205536828

Mackenzie Gray is a Nurse Practitioner in Anderson, Indiana. Qualified in 2022, 4 years ago. Practices with St Vincent Anderson Regional Hospital Inc, a 14-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Indiana.

Years since qualifying
4
Licensed in
IN
In the registry since
2023
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Practice location Address checks out

2210 Jackson St
Anderson, IN 46016-4363
Phone: (765) 646-8113
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 71013641A (IN)

Record details

NPI number1205536828
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 3, 2023
Last updated in NPPESMarch 3, 2023
Certification dateMarch 3, 2023
Mailing address2210 Jackson St, Anderson, IN 46016-4363

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 St Vincent Anderson Regional Hospital Inc — 14 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Anderson