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

Mackenzie Noelle Ford, APRN

Individual provider Family Nurse Practitioner · NPI 1790501609

Mackenzie Noelle Ford, APRN is a Nurse Practitioner in Wagoner, Oklahoma. Qualified in 2024, 2 years ago. Practices with Aspire Health Management LLC, a 12-clinician group and accepts Medicare assignment. Licensed in Oklahoma.

Years since qualifying
2
Licensed in
OK
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.

See every abbreviation used in this directory →

Practice location Address checks out

1103 W Cherokee St
Wagoner, OK 74467-4621
Phone: (918) 509-4440
Fax: (918) 509-4677
Show map & directions

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

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 220996 (OK)

Record details

NPI number1790501609
Entity typeIndividual (Type 1)
GenderFemale
Credentials APRN
Sole proprietorYes
NPI enumeratedNovember 25, 2024
Last updated in NPPESSeptember 18, 2025
Certification dateSeptember 18, 2025

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 Aspire Health Management Llc — 12 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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