MACKENZIE MARIE BUTLER PA-C
NPI 1497323612
Physician Assistant in Gainesville, FL

Q: What is Mackenzie Butler's NPI number?

The NPI number for Mackenzie Butler is 1497323612. It was assigned to this individual provider in the NPPES registry on June 14, 2021. The provider is also known as Mackenzie Marie Mcdorman.

Q: What is Mackenzie Butler's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Mackenzie Butler was last updated on October 19, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since June 14, 2021PECOS Enrolled

1601 SW ARCHER RD, GAINESVILLE, FL 32608(352) 548-6000 Get Directions Write a Review

NPPES record last updated: October 19, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 19, 2023, Sep 20, 2022, Jun 14, 2021 (3 updates tracked since 2021).

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About Mackenzie Marie Butler Pa-c NPPES

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

MACKENZIE MARIE BUTLER PA-C (NPI 1497323612) is an individual physician assistant in Gainesville, Florida, licensed in Ohio (50.007020RX) and active in the NPI registry since June 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1497323612

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameMACKENZIE MARIE BUTLERCredential: PA-C

Location Address1601 SW ARCHER RDGainesville, FL 32608-1197

Mailing Address1601 Sw Archer RdGainesville, FL 32608-1135 · (352) 548-6000

Phone(352) 548-6000

Sole ProprietorNo

Enumeration DateJune 14, 2021

Last NPPES UpdateOctober 19, 20233 updates tracked since enumeration

NPPES CertifiedOctober 19, 2023

✔ NPI 1497323612 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

Licenses✔ Licensed in OH · 50.007020RX✔ Licensed in IN · 10003185A

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.

1601 SW ARCHER RD, Gainesville, FL 32608

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Other Names 1

Former Name (1)Mackenzie Marie Mcdorman

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 Marie Butler Pa-c 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 32608 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

$87.62 typical visit price

range $56.00 – $171.84

Typical copayment $21.90 (range $14.00 – $42.96)

Most-billed visit code 99203

Established Patient

$70.04 typical visit price

range $17.57 – $139.16

Typical copayment $17.51 (range $4.39 – $34.79)

Most-billed visit code 99213

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 20

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

MS. CATHY JEANNE PRICE LCSW

Social Worker (Clinical)