Mackenzie Broeren, APRN, PMHNP-BC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

14115-33 Issued in WI

Practice address

5471 W Waterford LN
Appleton, WI 54913-8510

Phone

(920) 731-7445

Fax

(920) 731-7490

NPI assigned

Jun 29, 2023

Last updated

Sep 3, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in WI

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, 2023

Medicare assignment

May accept Medicare assignment

Group practices

Partnership Community Health Center IncGroup PAC ID 2062452600, 9 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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.

• Partnership Community Health Center, Inc

  • Federally Qualified Health Center (FQHC)
  • Appleton, WI
  • NPI 1225074008
  Medicare reassignment Care Compare group NPD
• Milwaukee Health Services, Inc.

  • Federally Qualified Health Center (FQHC)
  • Milwaukee, WI
  • NPI 1518005818
  Medicare reassignment NPD
• Milwaukee Health Services Inc

  dba Martin Luther King Heritage Health Center

  • Case Management Agency
  • Milwaukee, WI
  • NPI 1346657442
  NPD
• Partnership Community Health Center, Inc

  • Federally Qualified Health Center (FQHC)
  • Waupaca, WI
  • NPI 1689294159
  NPD
• Partnership Community Health Center, Inc

  • Federally Qualified Health Center (FQHC)
  • Appleton, WI
  • NPI 1447870910
  NPD (past)

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

{
    "created_epoch": "1687996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788393600000",
    "number": "1407533672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 N MCCARTHY RD STE T",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549139111",
            "telephone_number": "920-750-6374",
            "fax_number": "920-404-2351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5471 W WATERFORD LN",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549138510",
            "telephone_number": "920-731-7445",
            "fax_number": "920-731-7490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROEREN",
        "first_name": "MACKENZIE",
        "credential": "APRN, PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-29",
        "last_updated": "2026-09-03",
        "certification_date": "2026-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WI",
            "license": "14115-33",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "WI",
            "license": "14115-33",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WI",
            "license": "229878-30",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100279786",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100243971",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Samuel Brock
• Kristen Jeanne Brockdorf, PA-C
• Paige Brockdorf, DNP, APRN, FNP-BC
• Rebecca M Broeckert, M.D.
• Robert R Broeckert, MS CCC-A
• Dakota Brooker, MD
• Christina Brooks, M.D.
• Sarah Brosman, PMHNP
• Brotherly Love, LLC
• Amber Brown, LPC, ATR

• Psychiatric/Mental Health Nurse Practitioner in Appleton, WI
• Providers in Appleton, WI by specialty
• Psychiatric/Mental Health Nurse Practitioner in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 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.