MACKENZEY TALLMAN
NPI 1396562245
Nurse Practitioner - Pediatrics in Geneva, NY

Q: What is Mackenzey Tallman's NPI number?

The NPI number for Mackenzey Tallman is 1396562245. It was assigned to this individual provider in the NPPES registry on September 23, 2024.

Q: What is Mackenzey Tallman's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Q: When was this NPI record last updated?

The NPPES record for Mackenzey Tallman was last updated on September 23, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.

Active since September 23, 2024PECOS Enrolled

200 NORTH ST STE 101, GENEVA, NY 14456(315) 787-5200 Get Directions Write a Review

NPPES record last updated: September 23, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Mackenzey Tallman NPPES

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

MACKENZEY TALLMAN (NPI 1396562245) is an individual pediatrics provider in Geneva, New York, licensed in New York (383690) and active in the NPI registry since September 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1396562245

Entity TypeIndividualFemale

Primary Taxonomy363LP0200X

Provider Legal NameMACKENZEY TALLMAN

Location Address200 NORTH ST STE 101Geneva, NY 14456-1561

Mailing Address100 Kings Hwy SRochester, NY 14617-5504

Phone(315) 787-5200

Sole ProprietorNo

Enumeration DateSeptember 23, 2024

NPPES CertifiedSeptember 23, 2024

✔ NPI 1396562245 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0200X

License✔ Licensed in NY · 383690

200 NORTH ST STE 101, Geneva, NY 14456

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mackenzey Tallman 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 14456 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

$84.93 typical visit price

range $54.87 – $166.88

Typical copayment $21.23 (range $13.71 – $41.72)

Most-billed visit code 99203

Established Patient

$97.08 typical visit price

range $17.54 – $136.14

Typical copayment $24.27 (range $4.38 – $34.03)

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.

Other Providers at the Same Location NPPES 18

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

AMANDA LAINE BENNETT MD

Internal Medicine (Cardiovascular Disease)