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

Mackenzie Rose Vander Bloomen, MSN, FNP-C

Individual provider Registered Nurse · NPI 1740940733

Mackenzie Rose Vander Bloomen, MSN, FNP-C is a Nurse Practitioner in Green Bay, Wisconsin. Qualified in 2021, 5 years ago. Practices with St Nicholas Hospital-Sisters of the Third Order of St Francis, a 175-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Wisconsin.

Years since qualifying
5
Licensed in
WI
In the registry since
2021
Specialties on file
2
What do these letters mean?
MSN — Master of Science in Nursing
A graduate nursing degree, usually held alongside an advanced practice licence.
FNP-C — Family Nurse Practitioner, Certified
A family nurse practitioner certified by the AANP.

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Practice location Address checks out

1860 Shawano Ave
Green Bay, WI 54303-2667
Phone: (920) 272-1010
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 11824-33 (WI)
Registered Nurse Taxonomy 163W00000X · Licence 230930-30 (WI)

Record details

NPI number1740940733
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSN , FNP-C
Sole proprietorYes
NPI enumeratedDecember 18, 2021
Last updated in NPPESOctober 13, 2022
Certification dateOctober 13, 2022

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 St. Nicholas Hospital-Sisters Of The Third Order Of St Francis — 175 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

Other providers in Green Bay