MACKENZIE PATTERSON PA-C
NPI 1235686098
Physician Assistant - Surgical in Stamford, CT

Active since September 08, 2016PECOS EnrolledAccepts Medicare Assignment
1 BLACHLEY RD, STAMFORD, CT 06902(037) 050-7252(203) 705-0915 Get Directions Write a Review

NPPES record last updated: April 26, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 26, 2022, Nov 11, 2016 (2 updates tracked since 2016).

About Mackenzie Patterson Pa-c NPPES

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

MACKENZIE PATTERSON PA-C (NPI 1235686098) is an individual surgical provider in Stamford, Connecticut, licensed in Connecticut (5605) and active in the NPI registry since September 2016. She is enrolled in Medicare PECOS and is a graduate of University Of Wisconsin School Of Medicine (2016).

NPPES Registry Identity

NPI1235686098
Entity TypeIndividualFemale
Primary Taxonomy363AS0400X
Provider Legal NameMACKENZIE PATTERSONCredential: PA-C
Location Address1 BLACHLEY RDStamford, CT 06902-0002
Mailing Address187 Strawberry Hill Ave Unit 1Stamford, CT 06902-2509 · (047) 528-9940
Fax(203) 705-0915
Sole ProprietorNo
Medical School CMSUniversity Of Wisconsin School Of MedicineGraduated 2016
Enumeration DateSeptember 8, 2016
Last NPPES UpdateApril 26, 20222 updates tracked since enumeration
NPPES CertifiedApril 26, 2022
NPI 1235686098 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
Licenses Licensed in CT · 5605 Licensed in NC · 0010-06542 Licensed in NY · 028282
1 BLACHLEY RD, Stamford, CT 06902

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Mackenzie Patterson Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8426338088
PECOS Enrollment IDI20220404001532
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.

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.

Physician Assistant
1 BLACHLEY RD
STAMFORD, CT 06902
Physical Medicine & Rehabilitation (Pain Medicine)
1 BLACHLEY RD
STAMFORD, CT 06902
Orthopaedic Surgery (Orthopaedic Surgery of the Spine)
1 BLACHLEY RD
STAMFORD, CT 06902
Orthopaedic Surgery (Hand Surgery)
1 BLACHLEY RD
STAMFORD, CT 06902
Clinical Nurse Specialist (Family Health)
1 BLACHLEY RD
STAMFORD, CT 06902
Physician Assistant
1 BLACHLEY RD
STAMFORD, CT 06902
Orthopaedic Surgery
1 BLACHLEY RD
STAMFORD, CT 06902
Physical Medicine & Rehabilitation (Sports Medicine)
1 BLACHLEY RD
STAMFORD, CT 06902

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 Patterson's NPI number?

The NPI number for Mackenzie Patterson is 1235686098. It was assigned to this individual provider in the NPPES registry on September 8, 2016.

Where is Mackenzie Patterson located?

Mackenzie Patterson practices at 1 Blachley Rd, Stamford, CT 06902. The listed phone number is (037) 050-7252.

What is Mackenzie Patterson's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Mackenzie Patterson enrolled in Medicare?

Yes. Mackenzie Patterson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Mackenzie Patterson was last updated on April 26, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.