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MACKENZIE BONNEWITZ PA-C
NPI 1487438560
Physician Assistant in Broken Arrow, OK

Active since August 21, 2023
2530 N ELM PL, BROKEN ARROW, OK 74012(918) 994-1402(918) 512-4806 Get Directions Write a Review

NPPES record last updated: January 7, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 7, 2026, Aug 21, 2023 (2 updates tracked since 2023).

About Mackenzie Bonnewitz Pa-c NPPES

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

MACKENZIE BONNEWITZ PA-C (NPI 1487438560) is an individual physician assistant in Broken Arrow, Oklahoma and active in the NPI registry since August 2023.

NPPES Registry Identity

NPI1487438560
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMACKENZIE BONNEWITZCredential: PA-C
Location Address2530 N ELM PLBroken Arrow, OK 74012-1285
Mailing Address2530 N Elm PlBroken Arrow, OK 74012-1285 · (918) 994-1402 · Fax (918) 512-4806
Phone(918) 994-1402
Fax(918) 512-4806
Sole ProprietorNo
Enumeration DateAugust 21, 2023
Last NPPES UpdateJanuary 7, 20262 updates tracked since enumeration
NPPES CertifiedJanuary 7, 2026
✔ NPI 1487438560 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
2530 N ELM PL, Broken Arrow, OK 74012
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Other Providers at the Same Location NPPES

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

JESSICA HEISER PHARMD
Pharmacist
2530 N ELM PL
BROKEN ARROW, OK 74012
Tulsa County (918) 994-1400

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 Bonnewitz's NPI number?

The NPI number for Mackenzie Bonnewitz is 1487438560. It was assigned to this individual provider in the NPPES registry on August 21, 2023.

Where is Mackenzie Bonnewitz located?

Mackenzie Bonnewitz practices at 2530 N Elm Pl, Broken Arrow, OK 74012. The listed phone number is (918) 994-1402.

What is Mackenzie Bonnewitz's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Mackenzie Bonnewitz was last updated on January 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.