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MACKENZIE DUTTON MD
NPI 1265128599
Student in an Organized Health Care Education/Training Program in Minneapolis, MN

Active since April 11, 2023PECOS Enrolled
701 PARK AVENUE SOUTH, MINNEAPOLIS, MN 55415(612) 873-3000 Get Directions Write a Review

NPPES record last updated: April 11, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mackenzie Dutton Md NPPES

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

MACKENZIE DUTTON MD (NPI 1265128599) is an individual student in an organized health care education/training program in Minneapolis, Minnesota and active in the NPI registry since April 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1265128599
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameMACKENZIE DUTTONCredential: MD
Location Address701 PARK AVENUE SOUTHMinneapolis, MN 55415
Mailing Address701 Park Avenue SouthMinneapolis, MN 55415 · (612) 873-3000
Phone(612) 873-3000
Sole ProprietorNo
Enumeration DateApril 11, 2023
NPPES CertifiedApril 11, 2023
✔ NPI 1265128599 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.
701 PARK AVENUE SOUTH, Minneapolis, MN 55415
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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 Dutton Md 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.

ISSAC GEORGY MBBS
Student in an Organized Health Care Education/Training Program
701 PARK AVENUE SOUTH
MINNEAPOLIS, MN 55415
Hennepin County (612) 873-3000
WENDY MELISSA LOPEZ MORENO M.D.
Student in an Organized Health Care Education/Training Program
701 PARK AVENUE SOUTH
MINNEAPOLIS, MN 55415
Hennepin County (612) 873-3000
SOHAIL HUSSAIN MOHAMMAD MBBS
Student in an Organized Health Care Education/Training Program
701 PARK AVENUE SOUTH
MINNEAPOLIS, MN 55415
Hennepin County (612) 873-3000
EBERE MAUREEN UDE MD
Student in an Organized Health Care Education/Training Program
701 PARK AVENUE SOUTH
MINNEAPOLIS, MN 55415
Hennepin County (612) 873-3000
KSHITIJ SEHGAL M.B.B.S.
Student in an Organized Health Care Education/Training Program
701 PARK AVENUE SOUTH
MINNEAPOLIS, MN 55415
Hennepin County (612) 873-3000
MS. NEHA NANDITHA ADEPU
Student in an Organized Health Care Education/Training Program
701 PARK AVENUE SOUTH, HENNEPIN HEALTHCARE
MINNEAPOLIS, MN 55415
Hennepin County (612) 873-3000
OLUWATOBI KAZEEM OYENEYE MBBS
Student in an Organized Health Care Education/Training Program
701 PARK AVENUE SOUTH
MINNEAPOLIS, MN 55415
Hennepin County (612) 873-3000
AMEYA KUMAR MBBS
Student in an Organized Health Care Education/Training Program
701 PARK AVENUE SOUTH
MINNEAPOLIS, MN 55415
Hennepin County (612) 873-8722

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 Dutton's NPI number?

The NPI number for Mackenzie Dutton is 1265128599. It was assigned to this individual provider in the NPPES registry on April 11, 2023.

Where is Mackenzie Dutton located?

Mackenzie Dutton practices at 701 Park Avenue South, Minneapolis, MN 55415. The listed phone number is (612) 873-3000.

What is Mackenzie Dutton'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 Dutton enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Mackenzie Dutton was last updated on April 11, 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.