MACKENZIE MAE SMITH
NPI 1306515804
Nurse Practitioner - Family in Sheboygan, WI

Active since September 08, 2021PECOS EnrolledAccepts Medicare Assignment
97.32/100
CMS Quality Rating
2124 KOHLER MEMORIAL DR STE 110, SHEBOYGAN, WI 53081(833) 821-7246 Get Directions Write a Review

NPPES record last updated: July 6, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 6, 2023, Nov 16, 2022, Sep 8, 2021 (3 updates tracked since 2021).

About Mackenzie Mae Smith NPPES

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

MACKENZIE MAE SMITH (NPI 1306515804) is an individual family provider in Sheboygan, Wisconsin, licensed in Wisconsin (11287-33) and active in the NPI registry since September 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1306515804
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMACKENZIE MAE SMITH
Location Address2124 KOHLER MEMORIAL DR STE 110Sheboygan, WI 53081-3174
Mailing Address409 Huron StManitowoc, WI 54220-2932 · (920) 905-1236
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateSeptember 8, 2021
Last NPPES UpdateJuly 6, 20233 updates tracked since enumeration
NPPES CertifiedJuly 6, 2023
NPI 1306515804 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in WI · 11287-33
2124 KOHLER MEMORIAL DR STE 110, Sheboygan, WI 53081

Other Names 1

Former Name (1)Mackenzie Walesh

Accepted Insurance

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 Mae Smith 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 ID2769875293
PECOS Enrollment IDI20220207000048
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.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
177 services97 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
108 services72 patients
Testing for presence of drug, by chemistry analyzers 80307
Chemistry analyzers are used to detect the presence of drugs in your system. This test involves taking a small sample of your blood or urine. The sample is then analyzed for specific substances. The results help in understanding your health condition better.
74 services59 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53081 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$95.41 typical visit price
range $17.40 – $133.76
Typical copayment $23.85 (range $4.35 – $33.44)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

97.32/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality88.78
Improvement Activities40

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Anesthesiology
2124 KOHLER MEMORIAL DR STE 110
SHEBOYGAN, WI 53081
Anesthesiology (Pain Medicine)
2124 KOHLER MEMORIAL DR STE 110
SHEBOYGAN, WI 53081
Pain Medicine (Pain Medicine)
2124 KOHLER MEMORIAL DR STE 110
SHEBOYGAN, WI 53081
Pain Medicine (Interventional Pain Medicine)
2124 KOHLER MEMORIAL DR STE 110
SHEBOYGAN, WI 53081

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 Smith's NPI number?

The NPI number for Mackenzie Smith is 1306515804. It was assigned to this individual provider in the NPPES registry on September 8, 2021. The provider is also known as Mackenzie Walesh.

Where is Mackenzie Smith located?

Mackenzie Smith practices at 2124 Kohler Memorial Dr Ste 110, Sheboygan, WI 53081. The listed phone number is (833) 821-7246.

What is Mackenzie Smith's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Mackenzie Smith enrolled in Medicare?

Yes. Mackenzie Smith 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.

What insurance does Mackenzie Smith accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource (Common Ground Healthcare), Security Health Plan and UnitedHealthcare list Mackenzie Smith as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Mackenzie Smith was last updated on July 6, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.