Active NPI 1114881091 Individual Practitioner Female Practitioner

Mackenzie Rae Sergeon , LPN

Licensed Practical Nurse • Gassaway, WV

Professional Overview & Biography Verified Profile Summary

Mackenzie Sergeon, LPN is a registered healthcare professional specializing in Licensed Practical Nurse in Gassaway, WV. Practice services are available at 64 STATE ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

64 State St

Gassaway, WV 266241132

Telephone 3046511063

Associated Practice Facility / Clinic

🏢 Wvuhs Home Care, Llc Facility NPI 1750982997

Specialty Benchmarks & Practice Insights

Comparative analytics for Licensed Practical Nurse in Gassaway, WV

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 10.5 Yrs

State Avg: 10.2 Yrs

Regional Practice Density

11 Specialists

Practicing in Gassaway, WV (890 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: 2025-12-15

Licensed Practical Nurse Primary Specialty

NUCC Taxonomy Code: 164W00000X

State License WV 42331

An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

Practice Associates & Co-Workers

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

38 Associated Practitioners

Tanya Hall , LPN

Home Health

NPI 1013624691

Licensed Practical Nurse

Chandler Posey

Registered Nurse

NPI 1033821665

Lisa Ware

Registered Nurse - Home Health

NPI 1043927718

Abigail Divita

Nurse's Aide

NPI 1063124378

Stacy Fisher

Licensed Practical Nurse

NPI 1114639747

Amy Fields , LPN

Licensed Practical Nurse

NPI 1124892658

Licensed Practical Nurse

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active December 15, 2025

NPI status registered as active in NPPES database

📍

Updated Practice Location December 15, 2025

Registered at 64 STATE ST, GASSAWAY, WV 266241132 (Tel: 3046511063)

📍

Updated Business Mailing Address December 15, 2025

Registered at 64 STATE ST, GASSAWAY, WV 266241132

👤

Provider Name / Credentials Updated December 15, 2025

Recorded as MACKENZIE SERGEON, LPN

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) December 15, 2025

Licensed Practical Nurse (License #42331 in WV)

🟢

Initial NPI Registration & Enumeration December 15, 2025

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: 1114881091

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: December 15, 2025

Last Update: December 15, 2025

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

64 State St

Gassaway, WV 266241132

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.