Individual provider Active NPI

Mackenzie A Torline, RN

  • Family Nurse Practitioner
  • Madison, IN
National Provider Identifier
1922981893
Registry record updated Jul 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
71017177A Issued in IN
Practice address
630 Broadway St
Madison, IN 47250-3310
Phone
(812) 801-0611
NPI assigned
Jul 29, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diabetes Educator Registered Nurse 163WD0400X 28205773A IN
Family Nurse Practitioner 363LF0000X 71017177A IN Primary

Addresses

Primary practice location

630 Broadway St
Madison, IN 47250-3310

Mailing address

630 Broadway St # 2
Madison, IN 47250-3310
Phone (812) 801-0995

Other identifiers 2

IdentifierTypeStateIssuer
7101155770MedicaidKY
300122188MedicaidIN

Other names 1

  • Mackenzie A Goodin Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20251027003339 IN Practitioner - Nurse Practitioner 0648769026 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Medical Associates IncGroup PAC ID 7012811284, 1,368 clinicians

Practice addresses (Care Compare)

630 N Broadway St
Level 2
Madison, IN 47250-7328
Phone (812) 801-0995

Hospital & facility affiliations

  • Norton-King'S Daughters' Health Hospital, Madison, IN, CCN 150069

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
28205773AINMDDiabetes Educator Registered Nurse
71017177AINMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Community Medical Associates, Inc. Nurse Practitioner CurrentSince Nov 1, 2025 Accepting new patients
Community Medical Associates, Inc. Nurse Practitioner CurrentSince Nov 1, 2025 Accepting new patients
Community Medical Associates, Inc. Diabetes Educator Past Accepting new patients
Major Hospital Past Accepting new patients

Locations

2051 Clevidence Blvd
Clarksville, IN 47129
Phone (812) 280-6650

630 Broadway St
Madison, IN 47250
Phone (812) 265-0801

630 Broadway St
#2
Madison, IN 47250
Phone (812) 801-0995

1373 E State Road 62
#6F
Madison, IN 47250
Phone (502) 629-7181

630 Broadway St
#L2
Madison, IN 47250

Organizations & group practices 4

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

Hospital & facility affiliations 3

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

NPI Registry JSON

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

{
    "created_epoch": "1753747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784160000000",
    "number": "1922981893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "630 BROADWAY ST # 2",
            "city": "MADISON",
            "state": "IN",
            "postal_code": "472503310",
            "telephone_number": "812-801-0995",
            "fax_number": "812-801-8621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "630 BROADWAY ST",
            "city": "MADISON",
            "state": "IN",
            "postal_code": "472503310",
            "telephone_number": "812-801-0611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TORLINE",
        "first_name": "MACKENZIE",
        "middle_name": "A",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-07-29",
        "last_updated": "2026-07-16",
        "certification_date": "2026-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WD0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Diabetes Educator",
            "state": "IN",
            "license": "28205773A",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71017177A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7101155770",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300122188",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MACKENZIE",
            "last_name": "GOODIN",
            "middle_name": "A",
            "credential": "APRN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Madison, IN

Sources for this page

Verify at the official NPI Registry.