Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Miss. Mackenzie Lee Ice, MS, APRN, PMHNP-BC

Individual provider Registered Nurse · NPI 1730671405

Miss. Mackenzie Lee Ice, MS, APRN, PMHNP-BC is a Nurse Practitioner in Lorain, Ohio. Qualified in 2018, 8 years ago. Practices with Riveon Mental Health and Recovery, a 30-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Ohio.

Years since qualifying
8
Licensed in
OH
In the registry since
2018
Specialties on file
2
What do these letters mean?
MS — Master of Science
A graduate science degree.
APRN — Advanced Practice Registered Nurse
The umbrella licence covering nurse practitioners, midwives, anaesthetists and clinical nurse specialists.
PMHNP-BC — Psychiatric-Mental Health Nurse Practitioner, Board Certified
A board-certified psychiatric nurse practitioner.

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Practice location Address checks out

6140 S Broadway
Lorain, OH 44053
Phone: (440) 233-7232
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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 023025 (OH)
Registered Nurse Taxonomy 163W00000X · Licence 435143 (OH)

Record details

NPI number1730671405
Entity typeIndividual (Type 1)
GenderFemale
Credentials MS , APRN , PMHNP-BC
Sole proprietorNo
NPI enumeratedMay 30, 2018
Last updated in NPPESDecember 6, 2018

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Riveon Mental Health And Recovery — 30 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Lorain