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

Sophia Mazhou

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1801657853

Sophia Mazhou is a Nurse Practitioner in Kennett, Missouri. Qualified in 2023, 3 years ago. Practices with McPherson Medical and Diagnostic LLC, a 85-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Illinois, Missouri and Washington.

Years since qualifying
3
Licensed in
IL, MO, WA
In the registry since
2024
Specialties on file
3

Practice location Address checks out

901 W Commercial St
Kennett, MO 63857-1100
Phone: (870) 489-8633
Show map & directions

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

Additional practice locations (1)

  • 1050 N Argonne Rd Ste 100, Spokane Valley, WA 99212-6011 — (509) 209-8990

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 2023034767 (MO)
Psychiatric/Mental Health Nurse Practitioner Taxonomy 363LP0808X · Licence AP61574385 (WA)
Psychiatric/Mental Health Nurse Practitioner Taxonomy 363LP0808X · Licence 209028551 (IL)

Record details

NPI number1801657853
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJanuary 17, 2024
Last updated in NPPESJune 2, 2025
Certification dateJune 2, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice McPherson Medical And Diagnostic Llc — 85 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Kennett