1. Home
  2. Directory
  3. Michigan
  4. Farmington Hills
  5. Physician Assistant
  6. NPI Profile

MACKENZY LEE KASSAB PA-C
NPI 1619605722
Physician Assistant in Farmington Hills, MI

Active since August 08, 2022PECOS EnrolledAccepts Medicare Assignment
31393 W 13 MILE RD STE 105, FARMINGTON HILLS, MI 48334(734) 331-6037 Get Directions Write a Review

NPPES record last updated: March 26, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 26, 2025, Oct 10, 2024, Sep 22, 2022 and 2 more (5 updates tracked since 2022).

About Mackenzy Lee Kassab Pa-c NPPES

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

MACKENZY LEE KASSAB PA-C (NPI 1619605722) is an individual physician assistant in Farmington Hills, Michigan, licensed in Michigan (5601011399) and active in the NPI registry since August 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1619605722
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMACKENZY LEE KASSABCredential: PA-C
Location Address31393 W 13 MILE RD STE 105Farmington Hills, MI 48334-2232
Mailing Address4421 Forest Hill DrCommerce Township, MI 48382-1591 · (248) 412-3120
Phone(734) 331-6037
Sole ProprietorYes
Medical School CMSOtherGraduated 2022
Enumeration DateAugust 8, 2022
Last NPPES UpdateMarch 26, 20255 updates tracked since enumeration
NPPES CertifiedMarch 26, 2025
✔ NPI 1619605722 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in MI · 5601011399
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.
31393 W 13 MILE RD STE 105, Farmington Hills, MI 48334
Open in Google Maps ↗

Other Identifiers 1

Other5601011399MI · Mi Physician Assistant License

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include McLaren Health Plan Community, Priority Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mackenzy Lee Kassab Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4486024981
PECOS Enrollment IDI20221227001989
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 48334 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
$90.76 typical visit price
range $58.04 – $177.36
Typical copayment $22.69 (range $14.51 – $44.34)
Most-billed visit code 99203
Established Patient
$72.38 typical visit price
range $18.32 – $143.49
Typical copayment $18.09 (range $4.58 – $35.87)
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

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

JAJO & JONNA PSYCHIATRY PLLC
Psychiatry & Neurology (Psychiatry)
31393 W 13 MILE RD STE 105
FARMINGTON HILLS, MI 48334
Oakland County (734) 331-6037

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 Mackenzy Kassab's NPI number?

The NPI number for Mackenzy Kassab is 1619605722. It was assigned to this individual provider in the NPPES registry on August 8, 2022.

Where is Mackenzy Kassab located?

Mackenzy Kassab practices at 31393 W 13 Mile Rd Ste 105, Farmington Hills, MI 48334. The listed phone number is (734) 331-6037.

What is Mackenzy Kassab's specialty?

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

Is Mackenzy Kassab enrolled in Medicare?

Yes. Mackenzy Kassab is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Mackenzy Kassab accept?

Health plans from McLaren Health Plan Community and Priority Health list Mackenzy Kassab 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 Mackenzy Kassab was last updated on March 26, 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.