DR. JERRY LAMONT MCKENZIE M.D.
NPI 1053679407
Family Medicine - Geriatric Medicine in Mansfield, TX
About Dr. Jerry Lamont Mckenzie M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. JERRY LAMONT MCKENZIE M.D. (NPI 1053679407) is an individual geriatric medicine provider in Mansfield, Texas, licensed in Texas (R4786) and active in the NPI registry since April 2012. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of University Of Arkansas College Of Medicine (2012).
NPPES Registry Identity
Specialties & Licenses 3
Secondary Practice Locations 2
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. Jerry Lamont Mckenzie M.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 Reassignments
3Medicare enrollment records show Jerry Mckenzie reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Mansfield, TX 76063
- Reassigned Medicare billing, Texas enrollment
- 3 clinicians in this Medicare group
Arlington, TX 76015
- Reassigned Medicare billing, Texas enrollment
- 12 clinicians in this Medicare group
Fort Worth, TX 76132
- Reassigned Medicare billing, Texas enrollment
- 37 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 2
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 76063 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 8
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 Jerry Mckenzie's NPI number?
The NPI number for Jerry Mckenzie is 1053679407. It was assigned to this individual provider in the NPPES registry on April 23, 2012.
Where is Jerry Mckenzie located?
Jerry Mckenzie practices at 1720 E Broad St, Mansfield, TX 76063. The listed phone number is (817) 453-5912.
What is Jerry Mckenzie's specialty?
The primary specialty registered for this NPI is Family Medicine, specializing in Geriatric Medicine, with taxonomy code 207QG0300X.
Is Jerry Mckenzie enrolled in Medicare?
Yes. Jerry 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 organizations bill Medicare for Jerry Mckenzie's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jerry Mckenzie reassigns Medicare benefits to 3 organizations: Mansfield Medical Clinic (Mansfield, TX), Theresa D. Stretch MD, PA (Arlington, TX) and Strategic Medical Group Tx PLLC (Fort Worth, TX). 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 Jerry Mckenzie's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Jerry Mckenzie accept?
Health plans from Blue Cross and Blue Shield of Texas, Cigna Healthcare, Oscar Insurance Company and WellPoint list Jerry 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 Jerry Mckenzie was last updated on December 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.
# Dr. Jerry Lamont Mckenzie, M.D. · NPI 1053679407
Geriatric Medicine physician in Mansfield, Texas. Individual provider, active in the CMS NPPES registry since April 23, 2012.
## Identity
- **NPI:** 1053679407 (Entity type: Individual)
- **Enumerated:** April 23, 2012
- **Primary specialty:** Family Medicine - Geriatric Medicine · taxonomy 207QG0300X
- **State license:** R4786 (Texas)
- **Sole proprietor:** No
## Practice location
- **Address:** 1720 E BROAD ST, Mansfield, TX 76063-3400
- **Phone:** (817) 453-5912
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Mansfield Medical Clinic (NPI 1407966815, Mansfield, TX); Theresa D. Stretch MD, PA (NPI 1154622678, Arlington, TX); Strategic Medical Group Tx PLLC (NPI 1053027680, Fort Worth, TX) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Arkansas College Of Medicine, class of 2012
## Record status
- **NPPES last updated:** December 11, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1053679407) · Data from the CMS NPPES public registry.