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

Makaria Kenzie McMullen, FNP

Individual provider Nurse Practitioner · NPI 1396614996

Makaria Kenzie McMullen, FNP is a Nurse Practitioner in Crystal Cty, Missouri. Qualified in 2025, 1 year ago. Practices with Mercy Clinic Surgical Specialists LLC, a 180-clinician group and accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
1
Licensed in
MO
In the registry since
2025
Specialties on file
2
What do these letters mean?
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.

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Practice location Address checks out

1390 US Highway 61 Ste N1500
Crystal Cty, MO 63028-4137
Phone: (636) 933-8050
Fax: (636) 933-8047
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 2026005553 (MO)
Nurse Practitioner Taxonomy 363L00000X · Licence 2020027835 (MO)

Record details

NPI number1396614996
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP
Sole proprietorNo
NPI enumeratedNovember 3, 2025
Last updated in NPPESMarch 26, 2026
Certification dateMarch 26, 2026

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Mercy Clinic Surgical Specialists Llc — 180 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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