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MACKENZIE DAVID ELLSBERRY MD
NPI 1457016438
Student in an Organized Health Care Education/Training Program in Toledo, OH

Active since November 03, 2021PECOS Enrolled
1125 HOSPITAL DR, TOLEDO, OH 43614(419) 383-3761 Get Directions Write a Review

NPPES record last updated: April 15, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mackenzie David Ellsberry Md NPPES

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

MACKENZIE DAVID ELLSBERRY MD (NPI 1457016438) is an individual student in an organized health care education/training program in Toledo, Ohio and active in the NPI registry since November 2021. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1457016438
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameMACKENZIE DAVID ELLSBERRYCredential: MD
Location Address1125 HOSPITAL DRToledo, OH 43614-8001
Mailing Address1125 Hospital DrToledo, OH 43614-8001 · (419) 383-3761
Phone(419) 383-3761
Sole ProprietorNo
Enumeration DateNovember 3, 2021
Last NPPES UpdateApril 15, 2025
NPPES CertifiedApril 15, 2025
✔ NPI 1457016438 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1125 HOSPITAL DR, Toledo, OH 43614
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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)

Mackenzie David Ellsberry Md 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.

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.

EMILY MUELLER MA
Psychologist
1125 HOSPITAL DR
TOLEDO, OH 43614
Lucas County (419) 383-5040
SAMUEL D FORSHEY MSN, FNP
Nurse Practitioner
1125 HOSPITAL DR
TOLEDO, OH 43614
Lucas County (419) 383-3761
ALEXIA LYKANS
Dietitian, Registered
1125 HOSPITAL DR
TOLEDO, OH 43614
Lucas County (419) 383-4585
PUNEET SINDHWANI MD
Urology
1125 HOSPITAL DR
TOLEDO, OH 43614
Lucas County (419) 383-3578
MICHAEL ALEXANDER TANCHEVSKI DO
Student in an Organized Health Care Education/Training Program
1125 HOSPITAL DR
TOLEDO, OH 43614
Lucas County (419) 383-3761
MS. JACLYNN EILEEN BELVILLE RD, LD
Dietitian, Registered
1125 HOSPITAL DR
TOLEDO, OH 43614
Lucas County (419) 383-4585
DR. OMAR SHERIF TAHA M.D.
Student in an Organized Health Care Education/Training Program
1125 HOSPITAL DR
TOLEDO, OH 43614
Lucas County (419) 383-3761
JULIA CHRISTINE KESSEL MD
Student in an Organized Health Care Education/Training Program
1125 HOSPITAL DR
TOLEDO, OH 43614
Lucas County (419) 383-3761

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 Ellsberry's NPI number?

The NPI number for Mackenzie Ellsberry is 1457016438. It was assigned to this individual provider in the NPPES registry on November 3, 2021.

Where is Mackenzie Ellsberry located?

Mackenzie Ellsberry practices at 1125 Hospital Dr, Toledo, OH 43614. The listed phone number is (419) 383-3761.

What is Mackenzie Ellsberry's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Mackenzie Ellsberry enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Mackenzie Ellsberry was last updated on April 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.