MACKENZIE KAELYN POOLE MD, MBA
NPI 1366295842
Dermatology in Saint Louis, MO

Active since April 08, 2024PECOS Enrolled
621 S NEW BALLAS RD STE 3019B, SAINT LOUIS, MO 63141(314) 509-5305(314) 251-4454 Get Directions Write a Review

NPPES record last updated: June 6, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 6, 2024, Apr 8, 2024 (2 updates tracked since 2024).

About Mackenzie Kaelyn Poole Md, Mba NPPES

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

MACKENZIE KAELYN POOLE MD, MBA (NPI 1366295842) is an individual dermatology provider in Saint Louis, Missouri, licensed in Missouri (2024020290) and active in the NPI registry since April 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1366295842
Entity TypeIndividualFemale
Primary Taxonomy207N00000X
Provider Legal NameMACKENZIE KAELYN POOLECredential: MD, MBA
Location Address621 S NEW BALLAS RD STE 3019BSaint Louis, MO 63141-8267
Mailing Address621 S New Ballas Rd Ste 3019bSaint Louis, MO 63141-8267 · (314) 509-5305 · Fax (314) 251-4454
Fax(314) 251-4454
Sole ProprietorYes
Enumeration DateApril 8, 2024
Last NPPES UpdateJune 6, 20242 updates tracked since enumeration
NPPES CertifiedJune 6, 2024
NPI 1366295842 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License Licensed in MO · 2024020290
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
621 S NEW BALLAS RD STE 3019B, Saint Louis, MO 63141

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 Kaelyn Poole Md, Mba 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63141 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
$86.32 typical visit price
range $55.65 – $169.38
Typical copayment $21.58 (range $13.91 – $42.34)
Most-billed visit code 99203
Established Patient
$69.50 typical visit price
range $17.76 – $137.92
Typical copayment $17.37 (range $4.44 – $34.48)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

Internal Medicine
621 S NEW BALLAS RD STE 3019B
SAINT LOUIS, MO 63141
Internal Medicine
621 S NEW BALLAS RD STE 3019B
SAINT LOUIS, MO 63141
Internal Medicine
621 S NEW BALLAS RD STE 3019B
SAINT LOUIS, MO 63141
Dermatology
621 S NEW BALLAS RD STE 3019B
SAINT LOUIS, MO 63141
Dermatology
621 S NEW BALLAS RD STE 3019B
SAINT LOUIS, MO 63141
Internal Medicine
621 S NEW BALLAS RD STE 3019B
SAINT LOUIS, MO 63141
Internal Medicine
621 S NEW BALLAS RD STE 3019B
SAINT LOUIS, MO 63141
Internal Medicine
621 S NEW BALLAS RD STE 3019B
SAINT LOUIS, MO 63141

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 Poole's NPI number?

The NPI number for Mackenzie Poole is 1366295842. It was assigned to this individual provider in the NPPES registry on April 8, 2024.

Where is Mackenzie Poole located?

Mackenzie Poole practices at 621 S New Ballas Rd Ste 3019B, Saint Louis, MO 63141. The listed phone number is (314) 509-5305.

What is Mackenzie Poole's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Is Mackenzie Poole enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Mackenzie Poole was last updated on June 6, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.