MACKINZIE A STANLEY MD
NPI 1043008782
Student in an Organized Health Care Education/Training Program in Phoenix, AZ

Q: What is Mackinzie Stanley's NPI number?

The NPI number for Mackinzie Stanley is 1043008782. It was assigned to this individual provider in the NPPES registry on April 30, 2025.

Q: What is Mackinzie Stanley's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Mackinzie Stanley was last updated on April 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.

Active since April 30, 2025PECOS Enrolled

1441 N 12TH ST FL 2, PHOENIX, AZ 85006(602) 521-5969 Get Directions Write a Review

NPPES record last updated: April 30, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Mackinzie A Stanley Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MACKINZIE A STANLEY MD (NPI 1043008782) is an individual student in an organized health care education/training program in Phoenix, Arizona and active in the NPI registry since April 2025. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1043008782

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameMACKINZIE A STANLEYCredential: MD

Location Address1441 N 12TH ST FL 2Phoenix, AZ 85006-2837

Mailing Address1441 N 12th St Fl 2Phoenix, AZ 85006-2837 · (602) 521-5969

Phone(602) 521-5969

Sole ProprietorNo

Enumeration DateApril 30, 2025

NPPES CertifiedApril 30, 2025

✔ NPI 1043008782 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

1441 N 12TH ST FL 2, Phoenix, AZ 85006

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mackinzie A Stanley Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. LAWRENCE SEVILLA PARAWAN III MD

Student in an Organized Health Care Education/Training Program