Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MS. MACKENZIE N MOSERA DERBY MAT, MS, MPH, LCGC
NPI 1275186090
Genetic Counselor, MS in Madison, WI

Active since July 21, 2019
600 HIGHLAND AVE, MADISON, WI 53792(608) 915-0680 Get Directions Write a Review

NPPES record last updated: September 1, 2026. Verified against the NPPES registry weekly; last sync: September 13, 2026.

Record update history: Sep 1, 2026, Sep 8, 2025, Oct 15, 2020 and 4 more (7 updates tracked since 2019).

About Ms. Mackenzie N Mosera Derby Mat, Ms, Mph, Lcgc NPPES

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

MS. MACKENZIE N MOSERA DERBY MAT, MS, MPH, LCGC (NPI 1275186090) is an individual genetic counselor, ms provider in Madison, Wisconsin, licensed in Wisconsin (1619-61) and active in the NPI registry since July 2019.

NPPES Registry Identity

NPI1275186090
Entity TypeIndividualFemale
Primary Taxonomy170300000X
Provider Legal NameMS. MACKENZIE N MOSERA DERBYCredential: MAT, MS, MPH, LCGC
Location Address600 HIGHLAND AVEMadison, WI 53792-0005
Mailing Address600 Highland AveMadison, WI 53792-0001
Sole ProprietorNo
Enumeration DateJuly 21, 2019
Last NPPES UpdateSeptember 1, 20267 updates tracked since enumeration
NPPES CertifiedSeptember 1, 2026
NPI 1275186090 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyGenetic Counselor, MSOther Service Providers
Taxonomy Code170300000X
Licenses Licensed in WI · 1619-61 Licensed in TN · 313 Licensed in IL · 246.011182
Definition
A masters trained health care provider who collects and interprets genetic family histories; assesses the risk of disease occurrence or recurrence; identifies interventions to manage or ameliorate disease risk; educates about inheritance, testing, management, prevention, ethical issues, resources, and research; and counsels to promote informed choices and adaptation. Certification was established in 1993 by the American Board of Genetic Counseling and prior to that by the American Board of Medical Genetics. Requirements for experience, licensure, and job responsibilities vary among the states.
600 HIGHLAND AVE, Madison, WI 53792

Other Names 1

Former Name (1)Mackenzie Mosera

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.

Pharmacist
600 HIGHLAND AVE, COMPLIANCE MAIL CODE 2433
MADISON, WI 53792
Ophthalmology
600 HIGHLAND AVE
MADISON, WI 53792
Surgery
600 HIGHLAND AVE
MADISON, WI 53792
Internal Medicine (Infectious Disease)
600 HIGHLAND AVE
MADISON, WI 53792
Anesthesiology
600 HIGHLAND AVE
MADISON, WI 53792
Transplant Surgery
600 HIGHLAND AVE
MADISON, WI 53792
Anesthesiology
600 HIGHLAND AVE
MADISON, WI 53792
Radiology (Radiation Oncology)
600 HIGHLAND AVE
MADISON, WI 53792

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 Derby's NPI number?

The NPI number for Mackenzie Derby is 1275186090. It was assigned to this individual provider in the NPPES registry on July 21, 2019. The provider is also known as Mackenzie Mosera.

Where is Mackenzie Derby located?

Mackenzie Derby practices at 600 Highland Ave, Madison, WI 53792. The listed phone number is (608) 915-0680.

What is Mackenzie Derby's specialty?

The primary specialty registered for this NPI is Genetic Counselor, MS with taxonomy code 170300000X.

When was this NPI record last updated?

The NPPES record for Mackenzie Derby was last updated on September 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 days 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.