1. Home
  2. Directory
  3. Michigan
  4. Farmington Hills
  5. Psychiatry Neurology
  6. NPI Profile

MACKENZIE RAE DETERS DO
NPI 1063356871
Psychiatry & Neurology - Neurology in Farmington Hills, MI

Active since April 14, 2026PECOS Enrolled
28050 GRAND RIVER AVE, FARMINGTON HILLS, MI 48336(947) 521-8399 Get Directions Write a Review

NPPES record last updated: April 14, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mackenzie Rae Deters Do NPPES

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

MACKENZIE RAE DETERS DO (NPI 1063356871) is an individual neurology provider in Farmington Hills, Michigan, licensed in Michigan (5151017894) and active in the NPI registry since April 2026. She is enrolled in Medicare PECOS and maintains a secondary practice location in Royal Oak.

NPPES Registry Identity

NPI1063356871
Entity TypeIndividualFemale
Primary Taxonomy2084N0400X
Provider Legal NameMACKENZIE RAE DETERSCredential: DO
Location Address28050 GRAND RIVER AVEFarmington Hills, MI 48336-5919
Mailing Address28050 Grand River AveFarmington Hills, MI 48336-5919 · (947) 521-8399
Phone(947) 521-8399
Sole ProprietorNo
Enumeration DateApril 14, 2026
NPPES CertifiedApril 14, 2026
✔ NPI 1063356871 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
License✔ Licensed in MI · 5151017894
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
28050 GRAND RIVER AVE, Farmington Hills, MI 48336
Open in Google Maps ↗

Secondary Practice Location 1

Location 13601 W 13 Mile RdRoyal Oak, MI 48073-6712 · Phone (947) 521-8399

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 Rae Deters Do 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48336 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$134.28 typical visit price
range $58.04 – $177.36
Typical copayment $33.57 (range $14.51 – $44.34)
Most-billed visit code 99204
Established Patient
$102.35 typical visit price
range $18.32 – $143.49
Typical copayment $25.58 (range $4.58 – $35.87)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

PHYLLIS A SURMA RN
Registered Nurse (Diabetes Educator)
28050 GRAND RIVER AVE, TRACC
FARMINGTON HILLS, MI 48336
Oakland County (248) 471-8000
KAREN WATSON OTR/L
Occupational Therapist
28050 GRAND RIVER AVE
FARMINGTON HILLS, MI 48336
Oakland County (248) 471-8604
JUAN HUANG
Nurse Practitioner
28050 GRAND RIVER AVE
FARMINGTON HILLS, MI 48336
Oakland County (313) 618-9128
LINDSEY RAE HARRIS
Nurse Practitioner (Family)
28050 GRAND RIVER AVE
FARMINGTON HILLS, MI 48336
Oakland County (313) 618-9128
CHRISTINE CARLINE DO
Emergency Medicine
28050 GRAND RIVER AVE
FARMINGTON HILLS, MI 48336
Oakland County (947) 521-8000
SHAHRYAR RAZA DO
Family Medicine
28050 GRAND RIVER AVE
FARMINGTON HILLS, MI 48336
Oakland County (947) 521-8000
DR. JYOTHSNA YALAVARTHI MD
Internal Medicine
28050 GRAND RIVER AVE
FARMINGTON HILLS, MI 48336
Oakland County (734) 464-0887
ELIAS ANTYPAS
Radiology (Diagnostic Radiology)
28050 GRAND RIVER AVE
FARMINGTON HILLS, MI 48336
Oakland County (947) 521-8000

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 Deters's NPI number?

The NPI number for Mackenzie Deters is 1063356871. It was assigned to this individual provider in the NPPES registry on April 14, 2026.

Where is Mackenzie Deters located?

Mackenzie Deters practices at 28050 Grand River Ave, Farmington Hills, MI 48336. The listed phone number is (947) 521-8399.

What is Mackenzie Deters's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is Mackenzie Deters enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Mackenzie Deters was last updated on April 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.