Jenna Louise Mackie, CRNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

SP029049 Issued in PA

Practice address

682 Pleasant Dr
Warren, PA 16365-3499

Phone

(855) 700-8184

NPI assigned

Feb 7, 2024

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

Medicare fee-for-service enrollment

Enrolled in PA

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

Accepts the Medicare-approved amount as payment in full

Group practices

Physiatry Consultants of NC PLLCGroup PAC ID 2567871643, 77 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Lecom Health Corry Memorial Hospital Hospital, Corry, PA, CCN 391308

Medicare enrollment (NPD)

Enrolled

Interoperability endpoints

• Direct secure messaging: jenna.chase.1@10044.direct.athenahealth.com

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.

• Physiatry Consultants of NC PLLC

  • Physical Medicine & Rehabilitation Physician
  • Morton Grove, IL
  • NPI 1437736881

  PA

  Medicare reassignment Care Compare group
• Corry Memorial Hospital Association

  dba Corry Memorial Hospital Rural Health Clinic

  • Rural Health Clinic/Center
  • Corry, PA
  • NPI 1124406376
  Medicare reassignment

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Corry Memorial Hospital Association

  dba Corry Memorial Hospital

  • Critical Access Hospital
  • Corry, PA
  • NPI 1841268877
  Care Compare affiliation

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

{
    "created_epoch": "1707264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785110400000",
    "number": "1659135960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 W GOLF RD STE 26",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600053923",
            "telephone_number": "855-700-8184",
            "fax_number": "224-633-1935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "682 PLEASANT DR",
            "city": "WARREN",
            "state": "PA",
            "postal_code": "163653499",
            "telephone_number": "855-700-8184"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACKIE",
        "first_name": "JENNA",
        "middle_name": "LOUISE",
        "credential": "CRNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-02-07",
        "last_updated": "2026-07-27",
        "certification_date": "2026-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP029049",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Paul Lemay, PT
• Like a River Counseling
• Julie Lindemuth, PTA
• Living Intentionally Professional Counseling, LLC
• Jessica Lynn London, LSW
• Erica Christine Madigan, MS, CCC-SLP
• Zoey Magill
• Haylee Nicole Mague, PA-C
• Joseph John Maljovec, M.D.
• Mammogram Screenings Warren Gen Hosp

• Family Nurse Practitioner in Warren, PA
• Providers in Warren, PA by specialty
• Family Nurse Practitioner in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 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.