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MACKENZIE RAE RYAN DO
NPI 1255034765
Student in an Organized Health Care Education/Training Program in Indianapolis, IN

Active since March 23, 2023PECOS Enrolled
8414 NAAB RD, INDIANAPOLIS, IN 46260(317) 338-7510(317) 338-7540 Get Directions Write a Review

NPPES record last updated: March 23, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mackenzie Rae Ryan Do NPPES

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

MACKENZIE RAE RYAN DO (NPI 1255034765) is an individual student in an organized health care education/training program in Indianapolis, Indiana and active in the NPI registry since March 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1255034765
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameMACKENZIE RAE RYANCredential: DO
Location Address8414 NAAB RDIndianapolis, IN 46260-1972
Mailing Address8414 Naab RdIndianapolis, IN 46260-1972 · (317) 338-7510 · Fax (317) 338-7540
Phone(317) 338-7510
Fax(317) 338-7540
Sole ProprietorNo
Enumeration DateMarch 23, 2023
NPPES CertifiedMarch 23, 2023
✔ NPI 1255034765 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
8414 NAAB RD, Indianapolis, IN 46260
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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 Rae Ryan Do 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.

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.

MERCEDES MARIA VALACER DO
Student in an Organized Health Care Education/Training Program
8414 NAAB RD
INDIANAPOLIS, IN 46260
Marion County (317) 338-7510
STEPHANIE IBAVEN PHARMD
Student in an Organized Health Care Education/Training Program
8414 NAAB RD
INDIANAPOLIS, IN 46260
Marion County (317) 338-7510
NATALIE WOLFE DO
Student in an Organized Health Care Education/Training Program
8414 NAAB RD
INDIANAPOLIS, IN 46260
Marion County (317) 338-7510
KRISTIN HEM M.D.
Pediatrics
8414 NAAB RD
INDIANAPOLIS, IN 46260
Marion County (317) 338-7510
DR. ANDREA MARIE OERTEL MD
Pediatrics
8414 NAAB RD
INDIANAPOLIS, IN 46260
Marion County (317) 338-7510
ELIZABETH CLARK MD
Pediatrics
8414 NAAB RD
INDIANAPOLIS, IN 46260
Marion County (317) 338-7510
LUBHANI SHARMA MD
Student in an Organized Health Care Education/Training Program
8414 NAAB RD
INDIANAPOLIS, IN 46260
Marion County (317) 338-7510
STEPHANY ALLISON KEYS PSY.D.
Psychologist
8414 NAAB RD
INDIANAPOLIS, IN 46260
Marion County (317) 338-7510

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 Ryan's NPI number?

The NPI number for Mackenzie Ryan is 1255034765. It was assigned to this individual provider in the NPPES registry on March 23, 2023.

Where is Mackenzie Ryan located?

Mackenzie Ryan practices at 8414 Naab Rd, Indianapolis, IN 46260. The listed phone number is (317) 338-7510.

What is Mackenzie Ryan's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Mackenzie Ryan enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Mackenzie Ryan was last updated on March 23, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.