Mackenzie Snortum, PMHNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

2019073975 Issued in MN

Practice address

1011 1St St E Ste 5
Park Rapids, MN 56470-1764

Phone

(320) 321-9599

Fax

(877) 962-3624

NPI assigned

Dec 12, 2019

Last updated

Mar 11, 2026By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in MN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Enlightenment Psychiatry LLCGroup PAC ID 0143607440, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Enlightenment Psychiatry LLC

  • Clinic/Center
  • Park Rapids, MN
  • NPI 1629737473
  Medicare reassignment Care Compare group NPD Authorized official
• Care-Age Country Home

  • Assisted Living Facility
  • Park Rapids, MN
  • NPI 1144493669
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1576108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773187200000",
    "number": "1013555887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20122 239TH AVE",
            "city": "NEVIS",
            "state": "MN",
            "postal_code": "564674209",
            "telephone_number": "320-321-9599",
            "fax_number": "877-962-3624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1011 1ST ST E STE 5",
            "city": "PARK RAPIDS",
            "state": "MN",
            "postal_code": "564701764",
            "telephone_number": "320-321-9599",
            "fax_number": "877-962-3624"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "260 Magnus Johnson St N",
            "address_purpose": "LOCATION",
            "city": "Kimball",
            "state": "MN",
            "postal_code": "553532794",
            "country_code": "US",
            "telephone_number": "320-398-8646",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "215 Tousley Ave S",
            "address_purpose": "LOCATION",
            "city": "New York Mills",
            "state": "MN",
            "postal_code": "565674400",
            "country_code": "US",
            "telephone_number": "218-385-4700",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "105 Spruce St NW",
            "address_purpose": "LOCATION",
            "city": "Remer",
            "state": "MN",
            "postal_code": "566724301",
            "country_code": "US",
            "telephone_number": "218-670-2310",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1005 Wells Ave W",
            "address_purpose": "LOCATION",
            "city": "Sebeka",
            "state": "MN",
            "postal_code": "564772692",
            "country_code": "US",
            "telephone_number": "218-837-6406",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "18846 Eagle Bend Rd",
            "address_purpose": "LOCATION",
            "city": "Park Rapids",
            "state": "MN",
            "postal_code": "564702073",
            "country_code": "US",
            "telephone_number": "218-732-3721",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "200 W Walnut Ave",
            "address_purpose": "LOCATION",
            "city": "Upsala",
            "state": "MN",
            "postal_code": "563842305",
            "country_code": "US",
            "telephone_number": "320-573-4600",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "850 2nd St NW",
            "address_purpose": "LOCATION",
            "city": "Aitkin",
            "state": "MN",
            "postal_code": "564311140",
            "country_code": "US",
            "telephone_number": "218-927-2164",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1104 4th Ave NE",
            "address_purpose": "LOCATION",
            "city": "Long Prairie",
            "state": "MN",
            "postal_code": "563470008",
            "country_code": "US",
            "telephone_number": "320-732-2360",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "840 2nd St NW",
            "address_purpose": "LOCATION",
            "city": "Aitkin",
            "state": "MN",
            "postal_code": "564311158",
            "country_code": "US",
            "telephone_number": "218-927-2164",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SNORTUM",
        "first_name": "MACKENZIE",
        "credential": "PMHNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-12-12",
        "last_updated": "2026-03-11",
        "certification_date": "2026-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MN",
            "license": "2019073975",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.enlightenmentpsychiatry.org",
            "affiliation": "N",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "website",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1011 1st St E Ste 5",
            "city": "Park Rapids",
            "state": "MN",
            "country_code": "US",
            "postal_code": "564701764",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Smart Chiropractic Center
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• Leeanna Smith, COTA/L
• Snyders Drug (Snyder Drug Emporium)
• Mihaela Michelle Solien, P.T.
• Maurice William Spangler, M.D.
• Gregory J Sperle, MD
• St Joseph's Area Health Services (CHI St. Joseph's Health Clinic)

• Psychiatric/Mental Health Nurse Practitioner in Park Rapids, MN
• Providers in Park Rapids, MN by specialty
• Psychiatric/Mental Health Nurse Practitioner in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.