KELLY MARIE MACKENZIE PHD
NPI 1043831100
Psychologist - Clinical in Trenton, NJ
About Kelly Marie Mackenzie Phd NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KELLY MARIE MACKENZIE PHD (NPI 1043831100) is an individual clinical provider in Trenton, New Jersey, licensed in New Jersey (35SI00780000) and active in the NPI registry since April 2020. She is enrolled in Medicare PECOS, maintains a secondary practice location in Danville, and is a graduate of Other (2021).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
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
Kelly Marie Mackenzie Phd 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 Reassignments
3Medicare enrollment records show Kelly Mackenzie reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Trenton, NJ 08638
- Reassigned Medicare billing, New Jersey enrollment
- 581 clinicians in this Medicare group
Trenton, NJ 08638
- Reassigned Medicare billing, New Jersey enrollment
- 600 clinicians in this Medicare group
Pottsville, PA 17901
- Reassigned Medicare billing, Pennsylvania enrollment
- 4,429 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 08638 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 20
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 Kelly Mackenzie's NPI number?
The NPI number for Kelly Mackenzie is 1043831100. It was assigned to this individual provider in the NPPES registry on April 29, 2020.
Where is Kelly Mackenzie located?
Kelly Mackenzie practices at 832 Brunswick Ave, Trenton, NJ 08638. The listed phone number is (609) 815-7400.
What is Kelly Mackenzie's specialty?
The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.
Is Kelly Mackenzie enrolled in Medicare?
Yes. Kelly Mackenzie 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 organizations bill Medicare for Kelly Mackenzie's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kelly Mackenzie reassigns Medicare benefits to 3 organizations: Capital Health Medical Group (Trenton, NJ), Capital Health Multispecialty Group (Trenton, NJ) and Geisinger Clinic (Pottsville, PA). Each 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 Kelly Mackenzie's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Kelly Mackenzie was last updated on July 17, 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.
# Kelly Marie Mackenzie, PHD · NPI 1043831100
Clinical provider in Trenton, New Jersey. Individual provider, active in the CMS NPPES registry since April 29, 2020.
## Identity
- **NPI:** 1043831100 (Entity type: Individual)
- **Enumerated:** April 29, 2020
- **Primary specialty:** Psychologist - Clinical · taxonomy 103TC0700X
- **State license:** 35SI00780000 (New Jersey)
- **Sole proprietor:** No
## Practice location
- **Address:** 832 BRUNSWICK AVE, Trenton, NJ 08638-3847
- **Phone:** (609) 815-7400
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Capital Health Medical Group (NPI 1437516887, Trenton, NJ); Capital Health Multispecialty Group (NPI 1083072342, Trenton, NJ); Geisinger Clinic (NPI 1043261183, Pottsville, PA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2021
## Record status
- **NPPES last updated:** July 17, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1043831100) · Data from the CMS NPPES public registry.