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

Mrs. McKenzie Mack Lake, FNP

Individual provider Family Nurse Practitioner · NPI 1346793445

Mrs. McKenzie Mack Lake, FNP is a Nurse Practitioner in Rio Rancho, New Mexico. Qualified in 2016, 10 years ago. Practices with Unm Hospital, a 397-clinician group and accepts Medicare assignment. Licensed in New Mexico.

Years since qualifying
10
Licensed in
NM
In the registry since
2016
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

3001 Broadmoor Blvd NE
Rio Rancho, NM 87144-2100
Phone: (505) 550-9863
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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 CNP-02964 (NM)

Record details

NPI number1346793445
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP
Sole proprietorNo
NPI enumeratedJuly 26, 2016
Last updated in NPPESOctober 2, 2023
Certification dateOctober 2, 2023

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Unm Hospital — 397 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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