MACKENZIE A HEYWOOD
NPI 1194352559
Pediatrics in Springfield, IL

Q: What is Mackenzie Heywood's NPI number?

The NPI number for Mackenzie Heywood is 1194352559. It was assigned to this individual provider in the NPPES registry on March 25, 2020.

Q: What is Mackenzie Heywood's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Mackenzie Heywood was last updated on May 8, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since March 25, 2020PECOS Enrolled

3132 OLD JACKSONVILLE RD STE 200, SPRINGFIELD, IL 62704(217) 862-0800(217) 862-0871 Get Directions Write a Review

NPPES record last updated: May 8, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: May 8, 2024, Jun 22, 2023, Jun 3, 2023 and 1 more (4 updates tracked since 2020).

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About Mackenzie A Heywood NPPES

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

MACKENZIE A HEYWOOD (NPI 1194352559) is an individual pediatrics provider in Springfield, Illinois, licensed in Illinois (036.167992) and active in the NPI registry since March 2020. She is enrolled in Medicare PECOS and maintains a secondary practice location in Baltimore.

NPPES Registry Identity

NPI1194352559

Entity TypeIndividualFemale

Primary Taxonomy208000000X

Provider Legal NameMACKENZIE A HEYWOOD

Location Address3132 OLD JACKSONVILLE RD STE 200Springfield, IL 62704-7401

Mailing Address3132 Old Jacksonville Rd Ste 200Springfield, IL 62704-7401 · (217) 862-0800 · Fax (217) 862-0871

Phone(217) 862-0800

Fax(217) 862-0871

Sole ProprietorNo

Enumeration DateMarch 25, 2020

Last NPPES UpdateMay 8, 20244 updates tracked since enumeration

NPPES CertifiedMay 8, 2024

✔ NPI 1194352559 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in IL · 036.167992

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Also ListedGeneral PracticeTaxonomy 208D00000X · License D0097004 (MD)

3132 OLD JACKSONVILLE RD STE 200, Springfield, IL 62704

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Secondary Practice Location 1

Location 122 S Greene St # N5W70Baltimore, MD 21201-1544 · Phone (410) 328-5213

Other Identifiers 1

Other036167992IL · Md

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mackenzie A Heywood 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.

Medicare Billing Reassignment

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

Memorial Physician Services

Same address

Family Medicine

3132 OLD JACKSONVILLE RD
Springfield, IL 62704

Reassigned Medicare billing, Illinois enrollment
150 clinicians in this Medicare group

NPI 1174877930 (217) 862-0800

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62704 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

$85.71 typical visit price

range $54.80 – $168.44

Typical copayment $21.42 (range $13.70 – $42.11)

Most-billed visit code 99203

Established Patient

$97.25 typical visit price

range $17.16 – $136.56

Typical copayment $24.31 (range $4.29 – $34.14)

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 16

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

ANNE M MEIER

Nurse Practitioner (Family)