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Active NPI 1194555128 Individual Practitioner Female Practitioner

Mackenzie Rae Beacom , APRN, CPNP

Nurse Practitioner - Pediatrics • Saint Paul, MN

Professional Overview & Biography Verified Profile Summary

Mackenzie Beacom, APRN, CPNP is a registered healthcare professional specializing in Nurse Practitioner - Pediatrics in Saint Paul, MN. Practice services are available at 345 SMITH AVE N under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

345 Smith Ave N

Saint Paul, MN 551022346

Telephone 6512206000
Associated Practice Facility / Clinic
🏢 Childrens Health Care Facility NPI 1629161781

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner - Pediatrics in Saint Paul, MN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 15.1 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
76 Specialists

Practicing in Saint Paul, MN (480 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2024-08-05
Nurse Practitioner - Pediatrics Primary Specialty

NUCC Taxonomy Code: 363LP0200X

State License MN 11806

Definition to come...

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Patra Borden , MSN, APRN, NNP-BC

Nurse Practitioner - Neonatal

NPI 1013426147

Master of Science in Nursing, Advanced Practice Registered Nurse, NNPBC

Michael Frafjord

Social Worker - Clinical

NPI 1023330982
NPI 1043896145

Doctor of Medicine (M.D.)

Stephen Delong , LICSW

Social Worker - Clinical

NPI 1114420783

Licensed Independent Clinical Social Worker

Allison Lind , RN, MN, MPH, CPNP

Nurse Practitioner - Pediatrics

NPI 1144526765

Registered Nurse, MN, Master of Public Health, Certified Pediatric Nurse Practitioner

Johannah Freund , LICSW

Social Worker - Clinical

NPI 1174400188

Licensed Independent Clinical Social Worker

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active August 05, 2024

NPI status registered as active in NPPES database

📍
Updated Practice Location August 05, 2024

Registered at 345 SMITH AVE N, SAINT PAUL, MN 551022346 (Tel: 6512206000)

📍
Updated Business Mailing Address August 05, 2024

Registered at 5875 TEAKWOOD LN N APT B, PLYMOUTH, MN 554421590 (Tel: 6513367586)

👤
Provider Name / Credentials Updated August 05, 2024

Recorded as MACKENZIE BEACOM, APRN, CPNP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 05, 2024

Nurse Practitioner (License #11806 in MN)

🟢
Initial NPI Registration & Enumeration August 05, 2024

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1194555128
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 05, 2024
Last Update: August 05, 2024
Sole Proprietor: No

Mailing Address

5875 Teakwood Ln N Apt B

Plymouth, MN 554421590

Phone: 6513367586

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.