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MISS MACKENZIE ANNE SMITH
NPI 1629548714
Speech-Language Pathologist in Mcminnville, OR

Active since November 30, 2018
220 NE NORTON LN, MCMINNVILLE, OR 97128(503) 883-8250(888) 835-4257 Get Directions Write a Review

NPPES record last updated: May 15, 2024. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: May 15, 2024, Nov 30, 2018 (2 updates tracked since 2018).

About Miss Mackenzie Anne Smith NPPES

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

MISS MACKENZIE ANNE SMITH (NPI 1629548714) is an individual speech-language pathologist provider in Mcminnville, Oregon, licensed in Illinois (17517) and active in the NPI registry since November 2018.

NPPES Registry Identity

NPI1629548714
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameMISS MACKENZIE ANNE SMITH
Location Address220 NE NORTON LNMcminnville, OR 97128-8470
Mailing Address2053 N Sheffield Ave Apt 4fChicago, IL 60614-7424 · (815) 245-1435
Phone(503) 883-8250
Fax(888) 835-4257
Sole ProprietorNo
Enumeration DateNovember 30, 2018
Last NPPES UpdateMay 15, 20242 updates tracked since enumeration
NPPES CertifiedMay 15, 2024
✔ NPI 1629548714 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers
Taxonomy Code235Z00000X
License✔ Licensed in IL · 17517
Definition
The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.
Also ListedBehavior TechnicianTaxonomy 106S00000X
220 NE NORTON LN, Mcminnville, OR 97128
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc..Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Miss Mackenzie Anne Smith is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

Medicare enrollment records show Mackenzie Smith reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Sensible Speech-Language Pathology, Inc
19 mi
Speech-Language Pathologist
1475 CAPITOL ST NE
Salem, OR 97301
  • Reassigned Medicare billing, Oregon enrollment
  • 15 clinicians in this Medicare group
NPI 1144645102 (971) 599-1712

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 2

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

DANIEL JOHN RHOADS M.S., CCC-SLP
Speech-Language Pathologist
220 NE NORTON LN
MCMINNVILLE, OR 97128
Yamhill County (971) 599-1712
BRITTANY HALLADAY CCC-SLP
Speech-Language Pathologist
220 NE NORTON LN
MCMINNVILLE, OR 97128
Yamhill County (503) 883-8250

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 Smith's NPI number?

The NPI number for Mackenzie Smith is 1629548714. It was assigned to this individual provider in the NPPES registry on November 30, 2018.

Where is Mackenzie Smith located?

Mackenzie Smith practices at 220 NE Norton Ln, Mcminnville, OR 97128. The listed phone number is (503) 883-8250.

What is Mackenzie Smith's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

Is Mackenzie Smith enrolled in Medicare?

Yes. Mackenzie Smith is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Mackenzie Smith's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mackenzie Smith reassigns Medicare benefits to Sensible Speech-Language Pathology, Inc (Salem, OR). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Mackenzie Smith's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mackenzie Smith accept?

Health plans from Moda Health Plan, Inc. list Mackenzie Smith 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 Mackenzie Smith was last updated on May 15, 2024. 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.