Mackenzie Rose Vander Bloomen, MSN, FNP-C in Green Bay, WI

Mackenzie Rose Vander Bloomen, MSN, FNP-C is a medicare enrolled "Nurse Practitioner" in Green Bay, Wisconsin. She graduated from nursing school in 2021 and has 3 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice St Vincent Hospital-hospital Sisters-third Order Of St Francis, St. Nicholas Hospital-sisters Of The Third Order Of St Francis and her current practice location is 1860 Shawano Ave, Green Bay, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (920) 272-1010.

Mackenzie Rose Vander Bloomen is licensed to practice in Wisconsin (license number 11824-33) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1740940733.

Contact Information

	Mackenzie Rose Vander Bloomen, MSN, FNP-C
	1860 Shawano Ave, Green Bay, WI 54303-2667
	(920) 272-1010
	Not Available

Map and Direction

Provider's Profile

Full Name	Mackenzie Rose Vander Bloomen
Gender	Female
Speciality	Nurse Practitioner
Experience	3 Years
Location	1860 Shawano Ave, Green Bay, Wisconsin
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mackenzie Rose Vander Bloomen graduated from nursing school in 2021

NPI Data:

NPI Number: 1740940733
Provider Enumeration Date: 12/18/2021
Last Update Date: 10/13/2022

Medicare PECOS Information:

PECOS PAC ID: 4183010473
Enrollment ID: I20220414000562

Medical Identifiers

Medical identifiers for Mackenzie Rose Vander Bloomen such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1740940733	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	230930-30 (Wisconsin)	Secondary
363L00000X	Nurse Practitioner	11824-33 (Wisconsin)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
St Vincent Hospital	Green bay, WI	Hospital
St Mary's Hospital Medical Center	Green bay, WI	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
St Vincent Hospital-hospital Sisters-third Order Of St Francis	5799694675	546
St. Nicholas Hospital-sisters Of The Third Order Of St Francis	8325931652	151

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mackenzie Rose Vander Bloomen allows following entities to bill medicare on her behalf.

Entity Name	St. Nicholas Hospital-sisters Of The Third Order Of St Francis
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1275799413 PECOS PAC ID: 8325931652 Enrollment ID: O20040202001172

Entity Name	St Vincent Hospital-hospital Sisters-third Order Of St Francis
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1285613638 PECOS PAC ID: 5799694675 Enrollment ID: O20080620000423

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mackenzie Rose Vander Bloomen is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Mackenzie Rose Vander Bloomen, MSN, FNP-C 1326 Sand Acres Dr, De Pere, WI 54115-9487 Ph: (920) 264-4346	Mackenzie Rose Vander Bloomen, MSN, FNP-C 1860 Shawano Ave, Green Bay, WI 54303-2667 Ph: (920) 272-1010

Reviews and Comments

Nurse Practitioner Nurses in Green Bay, WI

Elizabeth Ostoja, MSN, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1976 Lime Kiln Rd, Green Bay, WI 54311 Phone: 920-445-7377 Fax: 920-592-9479
Tammy Ann Motquin, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 744 S Webster Ave, Green Bay, WI 54301 Phone: 920-445-7226
Mary C Fox, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3237 Voyager Dr, Green Bay, WI 54311 Phone: 920-468-8288
Mrs. Kristen Kay Lampe, APNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 720 S Van Buren St, Suite 201, Green Bay, WI 54301 Phone: 920-433-7488
Nicole L Lowe, APNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2253 W Mason St, Green Bay, WI 54303 Phone: 920-327-7300 Fax: 920-327-7348
Mr. Cristian A Vasiliev, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 923 Eliza St, Green Bay, WI 54301 Phone: 920-965-4800
Corinne Elizabeth George, APNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 744 S Webster Ave, Green Bay, WI 54301 Phone: 920-433-3500 Fax: 920-445-7301

Mackenzie Rose Vander Bloomen, MSN, FNP-C - Medicare Nurse Practitioner in Green Bay, WI