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MACKENZIE KAITLYN MANNING MS, RD
NPI 1124963475
Dietitian, Registered in Oklahoma City, OK

Active since April 22, 2026
4300 W MEMORIAL RD, OKLAHOMA CITY, OK 73120(405) 755-1515 Get Directions Write a Review

NPPES record last updated: April 22, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Mackenzie Kaitlyn Manning Ms, Rd NPPES

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

MACKENZIE KAITLYN MANNING MS, RD (NPI 1124963475) is an individual dietitian, registered in Oklahoma City, Oklahoma and active in the NPI registry since April 2026. She is a graduate of Other (2025).

NPPES Registry Identity

NPI1124963475
Entity TypeIndividualFemale
Primary Taxonomy133V00000X
Provider Legal NameMACKENZIE KAITLYN MANNINGCredential: MS, RD
Location Address4300 W MEMORIAL RDOklahoma City, OK 73120-8304
Mailing Address21969 Toscana CtEdmond, OK 73012-0919 · (405) 888-9101 · Fax (405) 888-9101
Phone(405) 755-1515
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateApril 22, 2026
NPPES CertifiedApril 22, 2026
✔ NPI 1124963475 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers
Taxonomy Code133V00000X
Definition
A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.
4300 W MEMORIAL RD, Oklahoma City, OK 73120
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Oklahoma.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mackenzie Kaitlyn Manning Ms, Rd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5991260176
PECOS Enrollment IDI20260717002768

Medicare Billing Reassignment

Medicare enrollment records show Mackenzie Manning reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mercy Clinic Oklahoma Communities
Same address
Family Medicine
4300 W MEMORIAL RD
Oklahoma City, OK 73120
  • Reassigned Medicare billing, Oklahoma enrollment
  • 975 clinicians in this Medicare group
NPI 1386874550 (405) 752-3333

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

IMARI ELENA MOORE M.D.
Obstetrics & Gynecology
4300 W MEMORIAL RD
OKLAHOMA CITY, OK 73120
Oklahoma County (057) 484-7264
MARCUS TOSCHI M.D.
Hospitalist
4300 W MEMORIAL RD
OKLAHOMA CITY, OK 73120
Oklahoma County (405) 755-1515
MICHELLE TILLINGER RD, LD
Dietitian, Registered
4300 W MEMORIAL RD
OKLAHOMA CITY, OK 73120
Oklahoma County (405) 853-0128
HOLLY MICHELLE MISTLER L.D.
Dietitian, Registered
4300 W MEMORIAL RD
OKLAHOMA CITY, OK 73120
Oklahoma County (405) 752-3758
MERCY HOSPITAL OKLAHOMA CITY, INC.
Dietitian, Registered
4300 W MEMORIAL RD
OKLAHOMA CITY, OK 73120
Oklahoma County (405) 755-1515
COURNEY SMITH L.D.
Dietitian, Registered
4300 W MEMORIAL RD
OKLAHOMA CITY, OK 73120
Oklahoma County (405) 936-5288
ROBERT D CRANE MD
Emergency Medicine
4300 W MEMORIAL RD
OKLAHOMA CITY, OK 73120
Oklahoma County (405) 752-3715
DR. JEFFREY MICHAEL CRAIG MD
Psychiatry & Neurology (Behavioral Neurology & Neuropsychiatry)
4300 W MEMORIAL RD
OKLAHOMA CITY, OK 73120
Oklahoma County (405) 752-3962

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 Manning's NPI number?

The NPI number for Mackenzie Manning is 1124963475. It was assigned to this individual provider in the NPPES registry on April 22, 2026.

Where is Mackenzie Manning located?

Mackenzie Manning practices at 4300 W Memorial Rd, Oklahoma City, OK 73120. The listed phone number is (405) 755-1515.

What is Mackenzie Manning's specialty?

The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.

Is Mackenzie Manning enrolled in Medicare?

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

Which organization bills Medicare for Mackenzie Manning's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mackenzie Manning reassigns Medicare benefits to Mercy Clinic Oklahoma Communities (Oklahoma City, OK). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Mackenzie Manning's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mackenzie Manning accept?

Health plans from Blue Cross and Blue Shield of Oklahoma list Mackenzie Manning as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Mackenzie Manning was last updated on April 22, 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.