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MACKINZIE KANE PA
NPI 1104776079
Physician Assistant in Knoxville, TN

Active since January 30, 2026PECOS Enrolled
1600 ACCELERATOR WAY STE 200, KNOXVILLE, TN 37920(865) 546-2663(865) 546-9047 Get Directions Write a Review

NPPES record last updated: February 4, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 4, 2026, Jan 30, 2026 (2 updates tracked since 2026).

About Mackinzie Kane Pa NPPES

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

MACKINZIE KANE PA (NPI 1104776079) is an individual physician assistant in Knoxville, Tennessee and active in the NPI registry since January 2026. She is enrolled in Medicare PECOS and is a graduate of Lincoln Memorial University Medical Department (2025).

NPPES Registry Identity

NPI1104776079
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMACKINZIE KANECredential: PA
Location Address1600 ACCELERATOR WAY STE 200Knoxville, TN 37920-3078
Mailing Address8320 E Walker Springs Ln Ste 200Knoxville, TN 37923-3120 · (865) 934-3329 · Fax (865) 769-4501
Phone(865) 546-2663
Fax(865) 546-9047
Sole ProprietorNo
Medical School CMSLincoln Memorial University Medical DepartmentGraduated 2025
Enumeration DateJanuary 30, 2026
Last NPPES UpdateFebruary 4, 20262 updates tracked since enumeration
NPPES CertifiedFebruary 4, 2026
✔ NPI 1104776079 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
Also ListedPhysician Assistant · SurgicalTaxonomy 363AS0400X
1600 ACCELERATOR WAY STE 200, Knoxville, TN 37920
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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)

Mackinzie Kane Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9436634508
PECOS Enrollment IDI20260327000350
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 37920 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
$81.53 typical visit price
range $52.64 – $160.89
Typical copayment $20.38 (range $13.16 – $40.22)
Most-billed visit code 99203
Established Patient
$66.01 typical visit price
range $16.72 – $131.41
Typical copayment $16.50 (range $4.18 – $32.85)
Most-billed visit code 99213
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.

SYDNEY WALLACE SHERRELL NP
Nurse Practitioner
1600 ACCELERATOR WAY STE 200
KNOXVILLE, TN 37920
Knox County (865) 546-2663
DR. KONSTANTINOS MARINO TRIANTAFILLOU MD
Orthopaedic Surgery
1600 ACCELERATOR WAY STE 200
KNOXVILLE, TN 37920
Knox County (865) 546-2663
MICHAEL JAMES KERN M.D.
Orthopaedic Surgery (Sports Medicine)
1600 ACCELERATOR WAY STE 200
KNOXVILLE, TN 37920
Knox County (865) 546-2663
DR. BRIAN MICHAEL TONNE M.D.
Orthopaedic Surgery
1600 ACCELERATOR WAY STE 200
KNOXVILLE, TN 37920
Knox County (865) 546-2663
DR. EDWIN MICHAEL HOLT M.D.
Orthopaedic Surgery
1600 ACCELERATOR WAY STE 200
KNOXVILLE, TN 37920
Knox County (865) 546-2663
ORTHOTENNESSEE, PC
Orthopaedic Surgery
1600 ACCELERATOR WAY STE 200
KNOXVILLE, TN 37920
Knox County (865) 546-2663
DANA M. PELIZZA PA
Physician Assistant
1600 ACCELERATOR WAY STE 200
KNOXVILLE, TN 37920
Knox County (865) 546-2663
DR. ANDREW PAUL HARRIS M.D.
Orthopaedic Surgery (Hand Surgery)
1600 ACCELERATOR WAY STE 200
KNOXVILLE, TN 37920
Knox County (865) 546-2663

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 Mackinzie Kane's NPI number?

The NPI number for Mackinzie Kane is 1104776079. It was assigned to this individual provider in the NPPES registry on January 30, 2026.

Where is Mackinzie Kane located?

Mackinzie Kane practices at 1600 Accelerator Way Ste 200, Knoxville, TN 37920. The listed phone number is (865) 546-2663.

What is Mackinzie Kane's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Mackinzie Kane enrolled in Medicare?

Yes. Mackinzie Kane is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Mackinzie Kane was last updated on February 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.