Look up the most recent NPI and PECOS records

Mackenzie Welch

Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers

8442 Dixie Hwy, Louisville, KY 40258-1140

PECOS Enrollment

Based on the most recent information from CMS, provider Mackenzie Welch is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 3 days ago.

Profile Details

Provider ID
1174369441
Provider Type
Individual
Full Name
Welch, Mackenzie
Credential
FNP

Gender
Female
Sole Proprietor
Yes
Enumeration Date
7/5/2024
Last Updated
7/5/2024

Contact Information

Practice Location

8442 Dixie Hwy, Louisville, KY 40258-1140

(502) 638-4280

(502) 638-4281

Mailing Location

5713 Morrison Ave, Louisville, KY 40214-1203

Unlisted Phone

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363LF0000X Primary	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License 1161471 Kentucky

Mackenzie Welch

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Wilbert, Charles Zachary

Rodgers, Olga Marie

Clark, Shana Marie

Simpson, Mandie

Swift, Christopher Michael

Morales Martin, Yoandis

Elm, Katelin H

Trudeau, Kirsten Taylor

Piotrowski, Samantha Leigh

Trust Family Health Care Inc