MACKENZIE MOORE
NPI 1629422993
Surgery in Minneapolis, MN
About Mackenzie Moore NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MACKENZIE MOORE (NPI 1629422993) is an individual surgery provider in Minneapolis, Minnesota, licensed in Minnesota (66100) and active in the NPI registry since April 2016. She is enrolled in Medicare PECOS, is affiliated with Abbott Northwestern Hospital, and maintains 2 additional practice locations.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Locations 2
Accepted 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
Mackenzie Moore 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.
Areas of Expertise CMS Part B claims 4
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Abbott Northwestern Hospital
Acute Care Hospitals · Minneapolis, MNPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 55407 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
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.
MINNEAPOLIS, MN 55407
MINNEAPOLIS, MN 55407
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 Moore's NPI number?
The NPI number for Mackenzie Moore is 1629422993. It was assigned to this individual provider in the NPPES registry on April 22, 2016.
Where is Mackenzie Moore located?
Mackenzie Moore practices at 920 E 28th St Suite 460, Minneapolis, MN 55407. The listed phone number is (612) 863-7770.
What is Mackenzie Moore's specialty?
The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.
Is Mackenzie Moore enrolled in Medicare?
Yes. Mackenzie Moore 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 Mackenzie Moore accept?
Health plans from Medica list Mackenzie Moore 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.
Is Mackenzie Moore affiliated with any hospitals?
According to CMS data, Mackenzie Moore is affiliated with Abbott Northwestern Hospital.
When was this NPI record last updated?
The NPPES record for Mackenzie Moore was last updated on September 7, 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.
# Mackenzie Moore · NPI 1629422993
Surgery physician in Minneapolis, Minnesota. Individual provider, active in the CMS NPPES registry since April 22, 2016.
## Identity
- **NPI:** 1629422993 (Entity type: Individual)
- **Enumerated:** April 22, 2016
- **Primary specialty:** Surgery · taxonomy 208600000X
- **State license:** 66100 (Minnesota)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 920 E 28TH ST, SUITE 460, Minneapolis, MN 55407-1286
- **Phone:** (612) 863-7770
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** University Of Iowa, Rj & L Carver College Of Medicine, class of 2016
## Record status
- **NPPES last updated:** September 7, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1629422993) · Data from the CMS NPPES public registry.