1. Home
  2. Directory
  3. Connecticut
  4. Norwalk
  5. Physician Assistant
  6. NPI Profile

MACKENZIE WALKER PA-C
NPI 1063071827
Physician Assistant - Surgical in Norwalk, CT

Active since June 06, 2019PECOS Enrolled
34 MAPLE ST, NORWALK, CT 06850(302) 383-4065 Get Directions Write a Review

NPPES record last updated: November 5, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 5, 2024, Oct 18, 2021, Jun 6, 2019 (3 updates tracked since 2019).

About Mackenzie Walker Pa-c NPPES

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

MACKENZIE WALKER PA-C (NPI 1063071827) is an individual surgical provider in Norwalk, Connecticut, licensed in Connecticut (4524) and active in the NPI registry since June 2019. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1063071827
Entity TypeIndividualFemale
Primary Taxonomy363AS0400X
Provider Legal NameMACKENZIE WALKERCredential: PA-C
Location Address34 MAPLE STNorwalk, CT 06850-3815
Mailing Address169 Walker RdLandenberg, PA 19350-1266 · (302) 383-4065
Phone(302) 383-4065
Sole ProprietorNo
Enumeration DateJune 6, 2019
Last NPPES UpdateNovember 5, 20243 updates tracked since enumeration
NPPES CertifiedNovember 5, 2024
✔ NPI 1063071827 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License✔ Licensed in CT · 4524
34 MAPLE ST, Norwalk, CT 06850
Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mackenzie Walker Pa-c 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.

DLEAH VAIYASHA EPPS PA-C
Physician Assistant (Surgical)
34 MAPLE ST
NORWALK, CT 06850
Western Connecticut Planning Region (203) 852-2000
DR. TIMOTHY DANIEL SHUB MD
Emergency Medicine
34 MAPLE ST
NORWALK, CT 06850
Western Connecticut Planning Region (203) 852-2000
KELLY NELSON
Registered Nurse
34 MAPLE ST
NORWALK, CT 06850
Western Connecticut Planning Region (203) 852-2501
MADISON DUVAL HOBBS PA
Physician Assistant (Medical)
34 MAPLE ST
NORWALK, CT 06850
Western Connecticut Planning Region (203) 852-2000
JILL BIANCA WATRAS M.D.
Surgery (Trauma Surgery)
34 MAPLE ST
NORWALK, CT 06850
Western Connecticut Planning Region (703) 867-6793
SIMA EL-AYOUB
Physician Assistant (Surgical)
34 MAPLE ST
NORWALK, CT 06850
Western Connecticut Planning Region (203) 852-2188
DR. CHRISTOPHER TYLER BATISTA PHARMD
Pharmacist
34 MAPLE ST
NORWALK, CT 06850
Western Connecticut Planning Region (203) 852-2684
MRS. NAUREEN KHAN M.D
Student in an Organized Health Care Education/Training Program
34 MAPLE ST
NORWALK, CT 06850
Western Connecticut Planning Region (203) 852-2303

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 Walker's NPI number?

The NPI number for Mackenzie Walker is 1063071827. It was assigned to this individual provider in the NPPES registry on June 6, 2019.

Where is Mackenzie Walker located?

Mackenzie Walker practices at 34 Maple St, Norwalk, CT 06850. The listed phone number is (302) 383-4065.

What is Mackenzie Walker's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Mackenzie Walker enrolled in Medicare?

Yes. Mackenzie Walker is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Mackenzie Walker was last updated on November 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.