DR. JACLYN MARIE MCKENZIE O.D.
NPI 1013210160
Optometrist in Ann Arbor, MI
About Dr. Jaclyn Marie Mckenzie O.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. JACLYN MARIE MCKENZIE O.D. (NPI 1013210160) is an individual optometrist in Ann Arbor, Michigan, licensed in Michigan (4901004609) and active in the NPI registry since December 2010. She is enrolled in Medicare PECOS and is a graduate of Other (2010).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Jaclyn Marie Mckenzie O.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Jaclyn Mckenzie reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Sioux Falls, SD 57106
- Reassigned Medicare billing, South Dakota enrollment
- Medicare enrollment name: Insight Eye Care Professionals PC
- 5 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 7
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 48104 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Jaclyn Mckenzie's NPI number?
The NPI number for Jaclyn Mckenzie is 1013210160. It was assigned to this individual provider in the NPPES registry on December 13, 2010.
Where is Jaclyn Mckenzie located?
Jaclyn Mckenzie practices at 3601 Washtenaw Ave, Ann Arbor, MI 48104. The listed phone number is (734) 973-1712.
What is Jaclyn Mckenzie's specialty?
The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.
Is Jaclyn Mckenzie enrolled in Medicare?
Yes. Jaclyn Mckenzie is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Jaclyn Mckenzie's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jaclyn Mckenzie reassigns Medicare benefits to Insight Eye Care Professionals, P.C. (Sioux Falls, SD). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jaclyn Mckenzie's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Jaclyn Mckenzie accept?
Health plans from Anthem Blue Cross and Blue Shield, Avera Health Plans, Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana and Blue Cross and Blue Shield of Montana and 6 other insurers list Jaclyn Mckenzie as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Jaclyn Mckenzie was last updated on December 13, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Dr. Jaclyn Marie Mckenzie, O.D. · NPI 1013210160
Optometrist provider in Ann Arbor, Michigan. Individual provider, active in the CMS NPPES registry since December 13, 2010.
## Identity
- **NPI:** 1013210160 (Entity type: Individual)
- **Enumerated:** December 13, 2010
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **State license:** 4901004609 (Michigan)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 3601 WASHTENAW AVE, Ann Arbor, MI 48104-5277
- **Phone:** (734) 973-1712 · **Fax:** (734) 973-1712
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
- **Bills Medicare through:** Insight Eye Care Professionals, P.C. (NPI 1780100941, Sioux Falls, SD), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2010
## Record status
- **NPPES last updated:** December 13, 2010
---
Source: [NPI Profile](https://npiprofile.com/npi/1013210160) · Data from the CMS NPPES public registry.