1. Home
  2. Directory
  3. New York
  4. Brooklyn
  5. Emergency Medicine
  6. NPI Profile
Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MACKENZIE LYNN WILSON
NPI 1114620671
Emergency Medicine in Brooklyn, NY

Active since March 23, 2023PECOS Enrolled
4802 10TH AVE, BROOKLYN, NY 11219(917) 282-2296 Get Directions Write a Review

NPPES record last updated: July 22, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 22, 2026, Mar 23, 2023 (2 updates tracked since 2023).

About Mackenzie Lynn Wilson NPPES

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

MACKENZIE LYNN WILSON (NPI 1114620671) is an individual emergency medicine provider in Brooklyn, New York, licensed in Massachusetts (1028315) and active in the NPI registry since March 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1114620671
Entity TypeIndividualFemale
Primary Taxonomy207P00000X
Provider Legal NameMACKENZIE LYNN WILSON
Location Address4802 10TH AVEBrooklyn, NY 11219-2916
Mailing Address4802 10th AveBrooklyn, NY 11219-2916
Phone(917) 282-2296
Sole ProprietorYes
Enumeration DateMarch 23, 2023
Last NPPES UpdateJuly 22, 20262 updates tracked since enumeration
NPPES CertifiedJuly 22, 2026
✔ NPI 1114620671 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in MA · 1028315
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
4802 10TH AVE, Brooklyn, NY 11219
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 Lynn Wilson 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 11219 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
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
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.

CARLOS BUZZETTA
Legal Medicine
4802 10TH AVE
BROOKLYN, NY 11219
Kings County (718) 283-8961
LOBELYS A ANICET PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
4802 10TH AVE
BROOKLYN, NY 11219
Kings County (718) 283-5660
CHIAMAKA MEREMETOH MD
Student in an Organized Health Care Education/Training Program
4802 10TH AVE
BROOKLYN, NY 11219
Kings County (718) 283-6000
JESSE M. GALINA
Student in an Organized Health Care Education/Training Program
4802 10TH AVE
BROOKLYN, NY 11219
Kings County (718) 283-6000
DR. ABANOUB ALFY NAKHLA MD
Student in an Organized Health Care Education/Training Program
4802 10TH AVE
BROOKLYN, NY 11219
Kings County (718) 283-6000
CHRISTINE LI MD
Student in an Organized Health Care Education/Training Program
4802 10TH AVE
BROOKLYN, NY 11219
Kings County (718) 283-6000
MS. KATRINA W SOWERBY FNP
Nurse Practitioner (Family)
4802 10TH AVE, PRE-TESTING
BROOKLYN, NY 11219
Kings County (718) 283-7300
MAIMONIDES MEDICAL CENTER MAIMONIDES INFECTIOUS DISEASES FPP
Internal Medicine (Infectious Disease)
4802 10TH AVE
BROOKLYN, NY 11219
Kings County (718) 283-8773

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 Wilson's NPI number?

The NPI number for Mackenzie Wilson is 1114620671. It was assigned to this individual provider in the NPPES registry on March 23, 2023.

Where is Mackenzie Wilson located?

Mackenzie Wilson practices at 4802 10th Ave, Brooklyn, NY 11219. The listed phone number is (917) 282-2296.

What is Mackenzie Wilson's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Mackenzie Wilson enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Mackenzie Wilson was last updated on July 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 31 days 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.