Individual provider Active NPI

Mackenzie Burdett Emel, CRNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Howard, PA
National Provider Identifier
1669288536
Registry record updated Dec 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
SP031542 Issued in PA
Practice address
91 Boones LN
Howard, PA 16841-1842
Phone
(814) 777-8228
NPI assigned
Dec 5, 2024
Last updated
Dec 5, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 5, 2024

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 SP031542 PA Primary

Addresses

Primary practice location

91 Boones LN
Howard, PA 16841-1842

Mailing address

91 Boones LN
Howard, PA 16841-1842
Phone (814) 777-8228

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20250109000420 PA Practitioner - Nurse Practitioner 4789112400 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

91 Boones LN
Howard, PA 16841-1842
Phone (814) 777-8228

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Thrive Behavioral Solutions, PLLC Single Specialty CurrentSince Dec 19, 2024 Accepting new patients
Steven R Hendricks, DO, PC Single Specialty CurrentSince Dec 5, 2024 Accepting new patients

Locations

22 Cree Dr
Lock Haven, PA 17745
Phone (570) 748-9377

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": "1733356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733356800000",
    "number": "1669288536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "91 BOONES LN",
            "city": "HOWARD",
            "state": "PA",
            "postal_code": "168411842",
            "telephone_number": "814-777-8228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "91 BOONES LN",
            "city": "HOWARD",
            "state": "PA",
            "postal_code": "168411842",
            "telephone_number": "814-777-8228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EMEL",
        "first_name": "MACKENZIE",
        "middle_name": "BURDETT",
        "credential": "CRNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-12-05",
        "last_updated": "2024-12-05",
        "certification_date": "2024-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "PA",
            "license": "SP031542",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Howard, PA

Sources for this page

Verify at the official NPI Registry.