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Mackenzie Gustafson, PMHNP

NPI 1669101234ActiveIndividual· Nurse Practitioner, Psych/Mental Health· Twin Falls, ID

Nurse Practitioner, Psych/Mental Health (PMHNP) with St Lukes Clinic LLC, practicing in Twin Falls, Idaho. Part D covered 283 prescriptions written in 2024, 99% of them generic. Alkermes, Inc. reported $67.52 in payments in 2025, mostly food and beverage. Lists St Lukes Magic Valley Medical Center as a hospital affiliation.

Overview

NPI1669101234
StatusActive
Entity typeIndividual
CredentialPMHNP
Sole proprietorYes
NPI issuedJun 8, 2022
Last updated in NPPESAug 19, 2022
Certified by providerAug 19, 2022

Specialties and licenses

TaxonomyCodeLicenseState
Nurse Practitioner, Psych/Mental Health Primary363LP0808X59468ID

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Practitioner - Nurse Practitioner (ID)

Part D prescriptions in 2024

Prescriptions (claims)283 · 293 30-day fills
Total drug cost$16,760
Generic share99% of claims

Medicare sources and data years

Education and affiliations

Graduation year2022
Medicare specialtyNurse Practitioner

Medical group

Hospital affiliation

Source: CMS Care Compare

Industry payments (Open Payments)

  • 2025$67.52 · 1 payment from 1 company
  • 2024$118.44 · 1 payment from 1 company

Top paying companies in 2025

CompanyAmountPayments
Alkermes, Inc.$67.521

What the 2025 payments were for

  • Food and Beverage$67.52 · 1 payment

Receiving payments does not imply wrongdoing. What Open Payments covers ·original records

Other psychiatric nurse practitioners in Twin Falls

All 21 psychiatric nurse practitioners in Twin Falls · All psychiatric nurse practitioners in Idaho