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BRIELLE MACKAY PA-C
NPI 1073362018
Student in an Organized Health Care Education/Training Program in Provo, UT

Active since May 14, 2024PECOS Enrolled
1800 NOVELL PL, PROVO, UT 84606(509) 808-1269 Get Directions Write a Review

NPPES record last updated: March 11, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 11, 2026, May 14, 2024 (2 updates tracked since 2024).

About Brielle Mackay Pa-c NPPES

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

BRIELLE MACKAY PA-C (NPI 1073362018) is an individual student in an organized health care education/training program in Provo, Utah and active in the NPI registry since May 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1073362018
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameBRIELLE MACKAYCredential: PA-C
Location Address1800 NOVELL PLProvo, UT 84606-6171
Mailing Address1800 Novell PlProvo, UT 84606-6171
Phone(509) 808-1269
Sole ProprietorNo
Enumeration DateMay 14, 2024
Last NPPES UpdateMarch 11, 20262 updates tracked since enumeration
NPPES CertifiedMarch 11, 2026
✔ NPI 1073362018 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
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.
1800 NOVELL PL, Provo, UT 84606
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Brielle Mackay 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.

JESSICA WILLMORE HAYES
Student in an Organized Health Care Education/Training Program
1800 NOVELL PL
PROVO, UT 84606
Utah County (801) 375-5125
KAYLEN MCGUIRE PA-S
Student in an Organized Health Care Education/Training Program
1800 NOVELL PL
PROVO, UT 84606
Utah County (801) 375-5125
ELIZABETH WUERCH
Student in an Organized Health Care Education/Training Program
1800 NOVELL PL
PROVO, UT 84606
Utah County (801) 375-5125
RACHEL VELA
Student in an Organized Health Care Education/Training Program
1800 NOVELL PL
PROVO, UT 84606
Utah County (503) 403-8268
LAUREN VICTORIA BROWN
Physician Assistant
1800 NOVELL PL
PROVO, UT 84606
Utah County (801) 200-6741
HALEY ANN EDONE
Student in an Organized Health Care Education/Training Program
1800 NOVELL PL
PROVO, UT 84606
Utah County (801) 375-5125
KELLIE LYNN CAMPBELL
Student in an Organized Health Care Education/Training Program
1800 NOVELL PL
PROVO, UT 84606
Utah County (801) 375-5125
MACKENZIE RIDLEY PA
Student in an Organized Health Care Education/Training Program
1800 NOVELL PL
PROVO, UT 84606
Utah County (801) 375-5125

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 Brielle Mackay's NPI number?

The NPI number for Brielle Mackay is 1073362018. It was assigned to this individual provider in the NPPES registry on May 14, 2024.

Where is Brielle Mackay located?

Brielle Mackay practices at 1800 Novell Pl, Provo, UT 84606. The listed phone number is (509) 808-1269.

What is Brielle Mackay's specialty?

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

Is Brielle Mackay enrolled in Medicare?

Yes. Brielle Mackay is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Brielle Mackay was last updated on March 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.