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MCKENZIE ANDERSON DO
NPI 1457055824
Student in an Organized Health Care Education/Training Program in Mishawaka, IN

Active since March 29, 2023PECOS Enrolled
611 E DOUGLAS RD STE 407, MISHAWAKA, IN 46545(574) 335-6500 Get Directions Write a Review

NPPES record last updated: March 29, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mckenzie Anderson Do NPPES

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

MCKENZIE ANDERSON DO (NPI 1457055824) is an individual student in an organized health care education/training program in Mishawaka, Indiana and active in the NPI registry since March 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1457055824
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameMCKENZIE ANDERSONCredential: DO
Location Address611 E DOUGLAS RD STE 407Mishawaka, IN 46545-1468
Mailing Address611 E Douglas Rd Ste 407Mishawaka, IN 46545-1468 · (574) 335-6500
Phone(574) 335-6500
Sole ProprietorNo
Enumeration DateMarch 29, 2023
NPPES CertifiedMarch 29, 2023
✔ NPI 1457055824 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.
611 E DOUGLAS RD STE 407, Mishawaka, IN 46545
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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)

Mckenzie Anderson Do 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.

DR. ALLYSON BRIANNE BRUNET SLUSSER DO
Student in an Organized Health Care Education/Training Program
611 E DOUGLAS RD STE 407
MISHAWAKA, IN 46545
St. Joseph County (574) 335-6500
MIRANDA MACFARLANE PHARMD
Pharmacist
611 E DOUGLAS RD STE 407
MISHAWAKA, IN 46545
St. Joseph County (574) 335-5000
PETER CARL CHRISTIAN BECK MD
Student in an Organized Health Care Education/Training Program
611 E DOUGLAS RD STE 407
MISHAWAKA, IN 46545
St. Joseph County (574) 335-6500
JOSEPH ALAN STOLDT PHARMD
Pharmacist (Pharmacotherapy)
611 E DOUGLAS RD STE 407
MISHAWAKA, IN 46545
St. Joseph County (574) 335-6500
ANNIE WU DO
Student in an Organized Health Care Education/Training Program
611 E DOUGLAS RD STE 407
MISHAWAKA, IN 46545
St. Joseph County (574) 335-6500
AMELLE CHRISTINE ALDURRA DO
Student in an Organized Health Care Education/Training Program
611 E DOUGLAS RD STE 407
MISHAWAKA, IN 46545
St. Joseph County (574) 335-6500
MIA LAMBERT MD
Student in an Organized Health Care Education/Training Program
611 E DOUGLAS RD STE 407
MISHAWAKA, IN 46545
St. Joseph County (574) 335-6500
THOMAS WAITES DO
Student in an Organized Health Care Education/Training Program
611 E DOUGLAS RD STE 407
MISHAWAKA, IN 46545
St. Joseph County (574) 335-6500

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 Mckenzie Anderson's NPI number?

The NPI number for Mckenzie Anderson is 1457055824. It was assigned to this individual provider in the NPPES registry on March 29, 2023.

Where is Mckenzie Anderson located?

Mckenzie Anderson practices at 611 E Douglas Rd Ste 407, Mishawaka, IN 46545. The listed phone number is (574) 335-6500.

What is Mckenzie Anderson's specialty?

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

Is Mckenzie Anderson enrolled in Medicare?

Yes. Mckenzie Anderson is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Mckenzie Anderson was last updated on March 29, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.