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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MAKENZIE LYNN ANDERSON
NPI 1629955430
Physician Assistant in Mankato, MN

Active since August 21, 2025PECOS Enrolled
1421 PREMIER DR, MANKATO, MN 56001(507) 625-1811(507) 625-8210 Get Directions Write a Review

NPPES record last updated: October 6, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 6, 2026, Sep 16, 2026, Sep 1, 2026 and 1 more (4 updates tracked since 2026).

About Makenzie Lynn Anderson NPPES

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

MAKENZIE LYNN ANDERSON (NPI 1629955430) is an individual physician assistant in Mankato, Minnesota, licensed in Minnesota (15910) and active in the NPI registry since August 2025. She is enrolled in Medicare PECOS and maintains a secondary practice location in West Des Moines.

NPPES Registry Identity

NPI1629955430
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMAKENZIE LYNN ANDERSON
Location Address1421 PREMIER DRMankato, MN 56001-6076
Mailing AddressPo Box 8674Mankato, MN 56002-8674 · (507) 389-8507 · Fax (507) 625-4754
Phone(507) 625-1811
Fax(507) 625-8210
Sole ProprietorNo
Enumeration DateAugust 21, 2025
Last NPPES UpdateOctober 6, 20264 updates tracked since enumeration
NPPES CertifiedOctober 6, 2026
✔ NPI 1629955430 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in MN · 15910
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.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
1421 PREMIER DR, Mankato, MN 56001
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Other Names 1

Former Name (1)Makenzie Grunst

Secondary Practice Location 1

Location 18025 Grand AveWest Des Moines, IA 50266-5360 · Phone (515) 271-1569

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Makenzie Lynn Anderson 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 56001 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 20

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

RICHARD J PELLER MD
Family Medicine
1421 PREMIER DR, MANKATO CLINIC
MANKATO, MN 56001
Blue Earth County (507) 625-1811
JAYA WADHAWAN
Pediatrics
1421 PREMIER DR
MANKATO, MN 56001
Blue Earth County (507) 625-1811
ABBY JEAN BARLAMENT MSW, LICSW
Social Worker (Clinical)
1421 PREMIER DR
MANKATO, MN 56001
Blue Earth County (507) 625-1811
SHIRLEY M ANDERSON MA CCCA
Audiologist
1421 PREMIER DR, MANKATO CLINIC AT WICKERSHAM CAMPUS
MANKATO, MN 56001
Blue Earth County (507) 625-1811
DARLA J WRAGE MD
Pediatrics
1421 PREMIER DR
MANKATO, MN 56001
Blue Earth County (507) 625-1811
DR. COLIN W. WEERTS D.O.
Family Medicine
1421 PREMIER DR
MANKATO, MN 56001
Blue Earth County (507) 625-1811
GILLETTE CHILDREN'S SPECIALTY HEALTHCARE
Durable Medical Equipment & Medical Supplies (Customized Equipment)
1421 PREMIER DR, SUITE 100
MANKATO, MN 56001
Blue Earth County (507) 207-2700
DR. NATHANIEL LEE GRAHAM O.D.
Optometrist
1421 PREMIER DR
MANKATO, MN 56001
Blue Earth County (507) 385-4070

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 Makenzie Anderson's NPI number?

The NPI number for Makenzie Anderson is 1629955430. It was assigned to this individual provider in the NPPES registry on August 21, 2025. The provider is also known as Makenzie Grunst.

Where is Makenzie Anderson located?

Makenzie Anderson practices at 1421 Premier Dr, Mankato, MN 56001. The listed phone number is (507) 625-1811.

What is Makenzie Anderson's specialty?

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

Is Makenzie Anderson enrolled in Medicare?

Yes. Makenzie Anderson is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Makenzie Anderson was last updated on October 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 days 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.