MACKENZIE MARIE WAGAMAN
NPI 1053290197
Student in an Organized Health Care Education/Training Program in Rochester, MN

Active since September 02, 2025
5067 55TH ST NW, ROCHESTER, MN 55901(507) 292-7070 Get Directions Write a Review

NPPES record last updated: September 2, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mackenzie Marie Wagaman NPPES

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

MACKENZIE MARIE WAGAMAN (NPI 1053290197) is an individual student in an organized health care education/training program in Rochester, Minnesota and active in the NPI registry since September 2025.

NPPES Registry Identity

NPI1053290197
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameMACKENZIE MARIE WAGAMAN
Location Address5067 55TH ST NWRochester, MN 55901-3809
Mailing Address208 4th St SwKasson, MN 55944-1244 · (320) 309-2620
Sole ProprietorNo
Enumeration DateSeptember 2, 2025
NPPES CertifiedSeptember 2, 2025
NPI 1053290197 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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.
5067 55TH ST NW, Rochester, MN 55901

Other Names 1

Former Name (1)Mackenzie Fritz

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.

Pain Medicine (Interventional Pain Medicine)
5067 55TH ST NW
ROCHESTER, MN 55901
Pharmacist
5067 55TH ST NW
ROCHESTER, MN 55901
Nurse Practitioner (Family)
5067 55TH ST NW
ROCHESTER, MN 55901
Nurse Practitioner (Family)
5067 55TH ST NW
ROCHESTER, MN 55901
Pharmacist
5067 55TH ST NW, OMC NW PHARMACY
ROCHESTER, MN 55901
Pharmacist
5067 55TH ST NW
ROCHESTER, MN 55901
Dermatology
5067 55TH ST NW
ROCHESTER, MN 55901
Physician Assistant
5067 55TH ST NW
ROCHESTER, MN 55901

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 Wagaman's NPI number?

The NPI number for Mackenzie Wagaman is 1053290197. It was assigned to this individual provider in the NPPES registry on September 2, 2025. The provider is also known as Mackenzie Fritz.

Where is Mackenzie Wagaman located?

Mackenzie Wagaman practices at 5067 55th St NW, Rochester, MN 55901. The listed phone number is (507) 292-7070.

What is Mackenzie Wagaman's specialty?

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

When was this NPI record last updated?

The NPPES record for Mackenzie Wagaman was last updated on September 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.