Mackenzie Elise Gaw, FNP
NPI 1023741402ActiveIndividual· Nurse Practitioner, Family· Paoli, IN
Nurse Practitioner, Family (FNP) with Theoria Medical, practicing in Paoli, Indiana. Mostly services rather than prescriptions: Medicare paid $1,454 for 31 patients in 2024, with only 27 Part D claims. Lists Ferrell Hospital Community Foundations as a hospital affiliation.
Overview
| NPI | 1023741402 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | FNP |
| Sole proprietor | Yes |
| NPI issued | Jul 5, 2022 |
| Last updated in NPPES | May 23, 2024 |
| Certified by provider | May 23, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Family Primary | 363LF0000X | 28247763A | IN |
| Nurse Practitioner | 363L00000X | 71012914A | IN |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Nurse Practitioner (IL); Practitioner - Nurse Practitioner (IN); Practitioner - Nurse Practitioner (KY) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 31 |
|---|---|
| Services billed | 31 across 9 procedure codes |
| Paid by Medicare | $1,454 |
Part D prescriptions in 2024
| Prescriptions (claims) | 27 · 27 30-day fills |
|---|---|
| Patients | 20 |
| Total drug cost | $211.68 |
| Generic share | 96% of claims |
Education and affiliations
| Graduation year | 2022 |
|---|---|
| Medicare specialty | Nurse Practitioner |
Medical group
- Theoria MedicalEast Moline, IL · 284 clinicians
Hospital affiliation
- Ferrell Hospital Community FoundationsEldorado, IL
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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