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MCKENZIE KYLE VERBOUT DDS
NPI 1609455039
Dentist - General Practice in Bemidji, MN

Active since April 04, 2021PECOS Enrolled
2219 PAUL BUNYAN DR NW STE 6-7, BEMIDJI, MN 56601(218) 751-2659 Get Directions Write a Review

NPPES record last updated: June 4, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 4, 2021, Apr 4, 2021 (2 updates tracked since 2021).

About Mckenzie Kyle Verbout Dds NPPES

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

MCKENZIE KYLE VERBOUT DDS (NPI 1609455039) is an individual general practice provider in Bemidji, Minnesota, licensed in Minnesota (D14575) and active in the NPI registry since April 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1609455039
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameMCKENZIE KYLE VERBOUTCredential: DDS
Location Address2219 PAUL BUNYAN DR NW STE 6-7Bemidji, MN 56601-6188
Mailing Address10783 Spring Dr NwBemidji, MN 56601-2009 · (218) 308-3833
Phone(218) 751-2659
Sole ProprietorNo
Enumeration DateApril 4, 2021
Last NPPES UpdateJune 4, 20212 updates tracked since enumeration
NPPES CertifiedJune 4, 2021
✔ NPI 1609455039 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in MN · D14575
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
2219 PAUL BUNYAN DR NW STE 6-7, Bemidji, MN 56601
Open in Google Maps ↗

Other Names 1

Former Name (1)Mckenzie Kyle Timms

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and more.Insurance ›

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 Kyle Verbout Dds 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 56601 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
$85.82 typical visit price
range $56.00 – $168.28
Typical copayment $21.45 (range $14.00 – $42.07)
Most-billed visit code 99203
Established Patient
$69.74 typical visit price
range $18.32 – $138.04
Typical copayment $17.43 (range $4.58 – $34.51)
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 5

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

AD ASTRUM LLC
Dentist (General Practice)
2219 PAUL BUNYAN DR NW STE 6-7
BEMIDJI, MN 56601
Beltrami County (218) 751-2659
DIPAUL DENTAL, PC
Dentist (General Practice)
2219 PAUL BUNYAN DR NW STE 6-7
BEMIDJI, MN 56601
Beltrami County (218) 751-2659
AD ASTRUM PLLC
Dentist (General Practice)
2219 PAUL BUNYAN DR NW STE 6-7
BEMIDJI, MN 56601
Beltrami County (218) 751-2659
LIEF RASMUSSEN
Dentist
2219 PAUL BUNYAN DR NW STE 6-7
BEMIDJI, MN 56601
Beltrami County (218) 751-2659
THIEN NGUYEN
Dentist (General Practice)
2219 PAUL BUNYAN DR NW STE 6-7
BEMIDJI, MN 56601
Beltrami County (925) 525-9226

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 Verbout's NPI number?

The NPI number for Mckenzie Verbout is 1609455039. It was assigned to this individual provider in the NPPES registry on April 4, 2021. The provider is also known as Mckenzie Kyle Timms.

Where is Mckenzie Verbout located?

Mckenzie Verbout practices at 2219 Paul Bunyan Dr NW Ste 6-7, Bemidji, MN 56601. The listed phone number is (218) 751-2659.

What is Mckenzie Verbout's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Mckenzie Verbout enrolled in Medicare?

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

What insurance does Mckenzie Verbout accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas, HRI Dental & Vision and Humana and 2 other insurers list Mckenzie Verbout as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Mckenzie Verbout was last updated on June 4, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.