MACKENZIE LEIGH SHATTUCK DO
NPI 1336715192
Pediatrics in Lansing, MI
About Mackenzie Leigh Shattuck Do NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MACKENZIE LEIGH SHATTUCK DO (NPI 1336715192) is an individual pediatrics provider in Lansing, Michigan, licensed in Michigan (5101028121) and active in the NPI registry since June 2021. She is enrolled in Medicare PECOS and maintains 4 additional practice locations.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Secondary Practice Locations 4
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mackenzie Leigh Shattuck Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Mackenzie Shattuck reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Lansing, MI 48912
- Reassigned Medicare billing, Michigan enrollment
- 365 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 48917 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Shattuck's NPI number?
The NPI number for Mackenzie Shattuck is 1336715192. It was assigned to this individual provider in the NPPES registry on June 2, 2021. The provider is also known as Mackenzie Robson.
Where is Mackenzie Shattuck located?
Mackenzie Shattuck practices at 7335 Westshire Dr Ste 102, Lansing, MI 48917. The listed phone number is (517) 662-1012.
What is Mackenzie Shattuck's specialty?
The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.
Is Mackenzie Shattuck enrolled in Medicare?
Yes. Mackenzie Shattuck is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Mackenzie Shattuck's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Mackenzie Shattuck reassigns Medicare benefits to Msu Health Care Inc (Lansing, MI). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Mackenzie Shattuck's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Mackenzie Shattuck accept?
Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company and Priority Health list Mackenzie Shattuck 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 Shattuck was last updated on January 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months 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.
# Mackenzie Leigh Shattuck, DO · NPI 1336715192
Pediatrics physician in Lansing, Michigan. Individual provider, active in the CMS NPPES registry since June 2, 2021.
## Identity
- **NPI:** 1336715192 (Entity type: Individual)
- **Enumerated:** June 2, 2021
- **Primary specialty:** Pediatrics · taxonomy 208000000X
- **State license:** 5101028121 (Michigan)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 7335 WESTSHIRE DR STE 102, Lansing, MI 48917-9703
- **Phone:** (517) 662-1012 · **Fax:** (517) 622-1033
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Msu Health Care Inc (NPI 1477188555, Lansing, MI), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 13, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1336715192) · Data from the CMS NPPES public registry.