MRS. MACKENZIE RENEE ROTELLA NP-C
NPI 1093268153
Nurse Practitioner - Primary Care in Syracuse, NY

Active since July 25, 2016PECOS EnrolledAccepts Medicare Assignment
739 IRVING AVE STE 200, SYRACUSE, NY 13210(315) 479-5070 Get Directions Write a Review

NPPES record last updated: March 16, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mrs. Mackenzie Renee Rotella Np-c NPPES

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

MRS. MACKENZIE RENEE ROTELLA NP-C (NPI 1093268153) is an individual primary care provider in Syracuse, New York, licensed in New York (F340681-1) and active in the NPI registry since July 2016. She is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1093268153
Entity TypeIndividualFemale
Primary Taxonomy363LP2300X
Provider Legal NameMRS. MACKENZIE RENEE ROTELLACredential: NP-C
Location Address739 IRVING AVE STE 200Syracuse, NY 13210-1668
Mailing Address1001 W Fayette St Ste 400Syracuse, NY 13204-2866 · (315) 937-3433
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateJuly 25, 2016
Last NPPES UpdateMarch 16, 2021
NPPES CertifiedMarch 12, 2021
NPI 1093268153 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
License Licensed in NY · F340681-1
739 IRVING AVE STE 200, Syracuse, NY 13210

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Mrs. Mackenzie Renee Rotella Np-c 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.

PECOS PAC ID42598047
PECOS Enrollment IDI20161026001151
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 13210 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
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
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 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Family Medicine
739 IRVING AVE STE 200
SYRACUSE, NY 13210
Internal Medicine
739 IRVING AVE STE 200
SYRACUSE, NY 13210
Internal Medicine (Endocrinology, Diabetes & Metabolism)
739 IRVING AVE STE 200
SYRACUSE, NY 13210
Durable Medical Equipment & Medical Supplies
739 IRVING AVE STE 200
SYRACUSE, NY 13210
Nurse Practitioner (Family)
739 IRVING AVE STE 200
SYRACUSE, NY 13210
Nurse Practitioner (Family)
739 IRVING AVE STE 200
SYRACUSE, NY 13210
Internal Medicine
739 IRVING AVE STE 200
SYRACUSE, NY 13210
Internal Medicine (Endocrinology, Diabetes & Metabolism)
739 IRVING AVE STE 200
SYRACUSE, NY 13210

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 Rotella's NPI number?

The NPI number for Mackenzie Rotella is 1093268153. It was assigned to this individual provider in the NPPES registry on July 25, 2016.

Where is Mackenzie Rotella located?

Mackenzie Rotella practices at 739 Irving Ave Ste 200, Syracuse, NY 13210. The listed phone number is (315) 479-5070.

What is Mackenzie Rotella's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Is Mackenzie Rotella enrolled in Medicare?

Yes. Mackenzie Rotella 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.

When was this NPI record last updated?

The NPPES record for Mackenzie Rotella was last updated on March 16, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.