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

Mackenzie Mae Smith

Individual provider Family Nurse Practitioner · NPI 1306515804

Mackenzie Mae Smith is a Nurse Practitioner in Sheboygan, Wisconsin. Qualified in 2021, 5 years ago. Practices with Progressive Beginnings, LLC, a 19-clinician group and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
5
Licensed in
WI
In the registry since
2021
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Practice location Address checks out

2124 Kohler Memorial Dr Ste 110
Sheboygan, WI 53081-3174
Phone: (833) 821-7246
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 11287-33 (WI)

Record details

NPI number1306515804
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 8, 2021
Last updated in NPPESJuly 6, 2023
Certification dateJuly 6, 2023
Mailing address409 Huron St, Manitowoc, WI 54220-2932

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 Progressive Beginnings, Llc — 19 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Sheboygan