Doctor profile · Federal record
Dr. Mackenzie Gustafson, PMHNP
Psychiatric/Mental Health Nurse Practitioner (CMS: Nurse Practitioner) · Twin Falls, ID
- NPI 1669101234
- Accepts Medicare
- MIPS 78.9 / 100 · 2023
- 4 yrs in practice
- Female
- Solo practice
- No sanctions
Practice & contact
- Primary practice
-
414 Shoup Ave W Ste B
Twin Falls, ID 833015042
(208) 814-9100 - Mailing address
-
190 E Bannock St
Boise, ID 837126241
Credentials & registration
- NPI registered
- June 2022 — 4 yrs on file
- Profile last updated
- August 19, 2022
- Year of graduation
- 2022 — 4 yrs since
- Specialty taxonomy
- 363LP0808X — NUCC code
- State license (1)
- Idaho #59468
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1669101234. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$118
Transactions
1
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| E.R. Squibb & Sons, L.L.C. | 1 | $118.44 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
40
Patients
0
Total drug cost
$3,872
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Naltrexone Hcl | Generic | 15 | 0 | $808 |
| Sertraline Hcl | Generic | 14 | 0 | $163 |
| Aripiprazole | Generic | 11 | 0 | $2,901 |
Frequently asked questions
What is Dr. Mackenzie Gustafson's medical specialty?
Dr. Mackenzie Gustafson practices Psychiatric/Mental Health Nurse Practitioner in Twin Falls, ID.
Where does Dr. Mackenzie Gustafson practice?
Dr. Mackenzie Gustafson practices at 414 Shoup Ave W Ste B, Twin Falls, ID 833015042. Office phone: 2088149100.
What is Dr. Mackenzie Gustafson's NPI?
Dr. Mackenzie Gustafson's National Provider Identifier (NPI) is 1669101234, issued by NPPES.
Does Dr. Mackenzie Gustafson accept Medicare assignment?
Yes. Dr. Mackenzie Gustafson accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.