MACKENZIE RAE BEACOM APRN, CPNP
NPI 1194555128
Nurse Practitioner - Pediatrics in Saint Paul, MN
About Mackenzie Rae Beacom Aprn, Cpnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MACKENZIE RAE BEACOM APRN, CPNP (NPI 1194555128) is an individual pediatrics provider in Saint Paul, Minnesota, licensed in Minnesota (11806) and active in the NPI registry since August 2024. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mackenzie Rae Beacom Aprn, Cpnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Mackenzie Beacom reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
St Paul, MN 55102
- Reassigned Medicare billing, Minnesota enrollment
- Medicare enrollment name: Children's Health Care
- 551 clinicians in this Medicare group
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 55102 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
SAINT PAUL, MN 55102
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 Beacom's NPI number?
The NPI number for Mackenzie Beacom is 1194555128. It was assigned to this individual provider in the NPPES registry on August 5, 2024. The provider is also known as Mackenzie Vanbuskirk.
Where is Mackenzie Beacom located?
Mackenzie Beacom practices at 345 Smith Ave N, Saint Paul, MN 55102. The listed phone number is (651) 220-6000.
What is Mackenzie Beacom's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.
Is Mackenzie Beacom enrolled in Medicare?
Yes. Mackenzie Beacom is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Mackenzie Beacom's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Mackenzie Beacom reassigns Medicare benefits to Childrens Health Care (St Paul, MN). 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 Beacom's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Mackenzie Beacom was last updated on August 5, 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.
# Mackenzie Rae Beacom, APRN, CPNP · NPI 1194555128
Pediatrics physician in Saint Paul, Minnesota. Individual provider, active in the CMS NPPES registry since August 5, 2024.
## Identity
- **NPI:** 1194555128 (Entity type: Individual)
- **Enumerated:** August 5, 2024
- **Primary specialty:** Nurse Practitioner - Pediatrics · taxonomy 363LP0200X
- **State license:** 11806 (Minnesota)
- **Sole proprietor:** No
## Practice location
- **Address:** 345 SMITH AVE N, Saint Paul, MN 55102-2346
- **Phone:** (651) 220-6000
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Childrens Health Care (NPI 1225132566, St Paul, MN), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 5, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1194555128) · Data from the CMS NPPES public registry.