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MACKENZIE FLYNN PA-C
NPI 1043183650
Physician Assistant - Medical in Highland Park, MI

Active since September 29, 2025PECOS EnrolledAccepts Medicare Assignment
1535 E STATE FAIR, HIGHLAND PARK, MI 48203(313) 891-2740(313) 731-0213 Get Directions Write a Review

NPPES record last updated: September 29, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mackenzie Flynn Pa-c NPPES

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

MACKENZIE FLYNN PA-C (NPI 1043183650) is an individual medical provider in Highland Park, Michigan, licensed in Michigan (5601013318) and active in the NPI registry since September 2025. She is enrolled in Medicare PECOS and is a graduate of University Of Detroit Mercy School Of Dentistry (2025).

NPPES Registry Identity

NPI1043183650
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameMACKENZIE FLYNNCredential: PA-C
Location Address1535 E STATE FAIRHighland Park, MI 48203-1257
Mailing Address1535 E State FairHighland Park, MI 48203-1257 · (313) 891-2740 · Fax (313) 731-0213
Phone(313) 891-2740
Fax(313) 731-0213
Sole ProprietorNo
Medical School CMSUniversity Of Detroit Mercy School Of DentistryGraduated 2025
Enumeration DateSeptember 29, 2025
NPPES CertifiedSeptember 29, 2025
✔ NPI 1043183650 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in MI · 5601013318
1535 E STATE FAIR, Highland Park, MI 48203
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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 and accepts Medicare assignment

Mackenzie Flynn Pa-c 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.

PECOS PAC ID6406345941
PECOS Enrollment IDI20251027001610
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 6

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

ZULIKRAM HOSSAIN FNP
Nurse Practitioner (Family)
1535 E STATE FAIR
DETROIT, MI 48203
Wayne County (313) 549-1780
QUINTINA HALL PCT, CMA
Home Health
1535 E STATE FAIR
DETROIT, MI 48203
Wayne County (313) 891-2740
HALO PRIMARY CARE
Family Medicine
1535 E STATE FAIR
DETROIT, MI 48203
Wayne County (313) 891-2740
STEPHANIE R GATES
Home Health
1535 E STATE FAIR
DETROIT, MI 48203
Wayne County (313) 891-2740
MRS. DANIELLE N GRIFFITH MSN, FNP-C
Nurse Practitioner (Family)
1535 E STATE FAIR
DETROIT, MI 48203
Wayne County (313) 891-2740
HALO PRIMARY CARE PLLC
Clinic/Center (Primary Care)
1535 E STATE FAIR
DETROIT, MI 48203
Wayne County (313) 891-2740

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 Mackenzie Flynn's NPI number?

The NPI number for Mackenzie Flynn is 1043183650. It was assigned to this individual provider in the NPPES registry on September 29, 2025.

Where is Mackenzie Flynn located?

Mackenzie Flynn practices at 1535 E State Fair, Highland Park, MI 48203. The listed phone number is (313) 891-2740.

What is Mackenzie Flynn's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Mackenzie Flynn enrolled in Medicare?

Yes. Mackenzie Flynn 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.

When was this NPI record last updated?

The NPPES record for Mackenzie Flynn was last updated on September 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.