MACKENZIE BARTLETT M.D.
NPI 1396123790
Pediatrics in Manchester, NH
About Mackenzie Bartlett M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MACKENZIE BARTLETT M.D. (NPI 1396123790) is an individual pediatrics provider in Manchester, New Hampshire, licensed in New Hampshire (18779) and active in the NPI registry since May 2015. She is enrolled in Medicare PECOS and maintains a secondary practice location in Providence.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
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 Bartlett M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Mackenzie Bartlett reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Manchester, NH 03109
- Reassigned Medicare billing, New Hampshire enrollment
- 446 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 03103 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 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
MANCHESTER, NH 03103
MANCHESTER, NH 03103
MANCHESTER, NH 03103
MANCHESTER, NH 03103
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 Bartlett's NPI number?
The NPI number for Mackenzie Bartlett is 1396123790. It was assigned to this individual provider in the NPPES registry on May 18, 2015.
Where is Mackenzie Bartlett located?
Mackenzie Bartlett practices at 1 Elliot Way, Manchester, NH 03103. The listed phone number is (603) 663-2710.
What is Mackenzie Bartlett's specialty?
The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.
Is Mackenzie Bartlett enrolled in Medicare?
Yes. Mackenzie Bartlett is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Mackenzie Bartlett's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Mackenzie Bartlett reassigns Medicare benefits to Elliot Professional Services (Manchester, NH). 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 Bartlett's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Mackenzie Bartlett accept?
Health plans from Anthem Blue Cross and Blue Shield, Taro Health and WellSense Health Plan list Mackenzie Bartlett 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 Bartlett was last updated on January 25, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.
# Mackenzie Bartlett, M.D. · NPI 1396123790
Pediatrics physician in Manchester, New Hampshire. Individual provider, active in the CMS NPPES registry since May 18, 2015.
## Identity
- **NPI:** 1396123790 (Entity type: Individual)
- **Enumerated:** May 18, 2015
- **Primary specialty:** Pediatrics · taxonomy 208000000X
- **State license:** 18779 (New Hampshire)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1 ELLIOT WAY, Manchester, NH 03103
- **Phone:** (603) 663-2710
## 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:** Elliot Professional Services (NPI 1285627935, Manchester, NH), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 25, 2019
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Source: [NPI Profile](https://npiprofile.com/npi/1396123790) · Data from the CMS NPPES public registry.