Individual provider Active NPI

Mackenzie Kirk, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Leon, IA
National Provider Identifier
1225844673
Registry record updated Sep 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
G182428 Issued in IA
Practice address
302 NE 14TH St
Leon, IA 50144-1206
Phone
(641) 446-2383
NPI assigned
Dec 9, 2024
Last updated
Sep 8, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X G182428 IA Primary

Addresses

Primary practice location

302 NE 14TH St
Leon, IA 50144-1206

Mailing address

302 NE 14TH St
Leon, IA 50144-1206
Phone (641) 446-2383

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
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

Enrollment IDStateProvider typePAC IDDetails
I20250121001858 IA Practitioner - Nurse Practitioner 7911436928 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Infinity HealthGroup PAC ID 5597717496, 19 clinicians

Practice addresses (Care Compare)

1711 Osceola Ave
Chariton, IA 50049-1516
Phone (641) 774-8484

219 W Washington St
Osceola, IA 50213-1249
Phone (641) 342-9000

302 NE 14TH St
Leon, IA 50144-1206
Phone (641) 446-2383

802 Ackerley St
Lamoni, IA 50140-1544
Phone (641) 784-7911

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
G182428IAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Infinity Health CurrentSince Nov 10, 2024 Accepting new patients
Infinity Health CurrentSince Nov 10, 2024 Accepting new patients

Locations

102 N Franklin St
#104
Corydon, IA 50060
Phone (641) 872-1750

302 NE 14th St
Leon, IA 50144
Phone (641) 446-2383

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1733702400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757289600000",
    "number": "1225844673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "302 NE 14TH ST",
            "city": "LEON",
            "state": "IA",
            "postal_code": "501441206",
            "telephone_number": "641-446-2383",
            "fax_number": "515-864-0336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 NE 14TH ST",
            "city": "LEON",
            "state": "IA",
            "postal_code": "501441206",
            "telephone_number": "641-446-2383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIRK",
        "first_name": "MACKENZIE",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-12-09",
        "last_updated": "2025-09-08",
        "certification_date": "2025-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "IA",
            "license": "G182428",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Leon, IA

Sources for this page

Verify at the official NPI Registry.