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Active NPI 1740940733 Individual Practitioner Female Practitioner

Mackenzie Rose Vander Bloomen , MSN, FNP-C

Nurse Practitioner • Green Bay, WI

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Mackenzie Vander Bloomen, MSN, FNP-C is a certified Nurse Practitioner practicing in Green Bay, WI. With approximately 5 years of clinical experience since completing medical education in 2021, Mackenzie Vander Bloomen delivers high-quality medical care to the local community at 1860 SHAWANO AVE.

Mackenzie Vander Bloomen maintains professional affiliations with St Vincent Hospital-Hospital Sisters-Third Order Of St Francis, St. Nicholas Hospital-Sisters Of The Third Order Of St Francis and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include injection, denosumab, 1 mg, established patient outpatient office visit, insertion of needle into vein for collection of blood sample. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1860 Shawano Ave

Green Bay, WI 543032667

Telephone 9202721010

Medicare Profile & Education

Medical School

Other

Graduation Year

2021

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Green Bay, WI

Experienced Practitioner (5-10 Yrs)
Practitioner Clinical Experience
5 Yrs -4.9 yrs vs City Avg
City Avg: 9.9 Yrs
State Avg: 12.1 Yrs
Regional Practice Density
218 Specialists

Practicing in Green Bay, WI (4030 Statewide)

Telehealth Adoption Rate
14.7% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount
71.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Vander Bloomen (5 Years) 5 Yrs
Green Bay Specialty Average (9.9 Years) 9.9 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
J0897 Injection, denosumab, 1 mg
1,800 24 $29.75 $25.18
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
190 111 $266.25 $101.83
36415 Insertion of needle into vein for collection of blood sample
187 104 $30.25 $8.57
95251 Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report
83 43 $166.00 $27.54
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention
53 32 $90.00 $11.49
83036 Hemoglobin A1C level
13 13 $107.50 $9.52
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
12 12 $412.50 $132.51

Medical Specialties & State Licenses

CMS Verified: 2022-10-13
Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License WI 11824-33

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Registered Nurse

NUCC Taxonomy Code: 163W00000X

State License WI 230930-30

(1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span.

Hospital & Practice Group Affiliations

St. Nicholas Hospital-Sisters Of The Third Order Of St Francis

1411 N Taylor Dr, Sheboygan, WI 530813043

Phone: 9204574858

St Vincent Hospital-Hospital Sisters-Third Order Of St Francis

1860 Shawano Ave, Green Bay, WI 543032667

Phone: 9204964700

St. Nicholas Hospital-Sisters Of The Third Order Of St Francis

3100 Superior Ave, Sheboygan, WI 530811948

Phone: 9204598300

Practice Associates & Co-Workers

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

2 Associated Practitioners
NPI 1093955411

CERTIFIEDDIETICIAN

Sherri Szczepanski , APNP

Nurse Practitioner - Family

NPI 1649292772

Advanced Practice Nurse Prescriber

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active December 18, 2021

NPI status registered as active in NPPES database

📍
Updated Practice Location December 18, 2021

Registered at 1860 SHAWANO AVE, GREEN BAY, WI 543032667 (Tel: 9202721010)

📍
Updated Business Mailing Address December 18, 2021

Registered at 1326 SAND ACRES DR, DE PERE, WI 541159487 (Tel: 9202644346)

👤
Provider Name / Credentials Updated December 18, 2021

Recorded as MACKENZIE VANDER BLOOMEN, MSN, FNP-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 18, 2021

Registered Nurse (License #230930-30 in WI)

🟢
Initial NPI Registration & Enumeration December 18, 2021

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: 1740940733
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 18, 2021
Last Update: October 13, 2022
Sole Proprietor: Yes

Mailing Address

1326 Sand Acres Dr

De Pere, WI 541159487

Phone: 9202644346

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.