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MACKENZIE ELIZABETH LARSEN DC
NPI 1649166760
Chiropractor in Oconomowoc, WI

Active since June 16, 2025
1250 PRAIRIE CREEK BLVD UNIT 201, OCONOMOWOC, WI 53066(920) 284-0618 Get Directions Write a Review

NPPES record last updated: June 16, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mackenzie Elizabeth Larsen Dc NPPES

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

MACKENZIE ELIZABETH LARSEN DC (NPI 1649166760) is an individual chiropractor in Oconomowoc, Wisconsin, licensed in Wisconsin (6305-12) and active in the NPI registry since June 2025. She is a graduate of Northwestern College Of Chiropractic (2025).

NPPES Registry Identity

NPI1649166760
Entity TypeIndividualFemale
Primary Taxonomy111N00000X
Provider Legal NameMACKENZIE ELIZABETH LARSENCredential: DC
Location Address1250 PRAIRIE CREEK BLVD UNIT 201Oconomowoc, WI 53066-8687
Mailing Address1250 Prairie Creek Blvd Unit 201Oconomowoc, WI 53066-8687 · (920) 284-0618
Phone(920) 284-0618
Sole ProprietorNo
Medical School CMSNorthwestern College Of ChiropracticGraduated 2025
Enumeration DateJune 16, 2025
NPPES CertifiedJune 16, 2025
✔ NPI 1649166760 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in WI · 6305-12
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
1250 PRAIRIE CREEK BLVD UNIT 201, Oconomowoc, WI 53066
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mackenzie Elizabeth Larsen Dc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5294242806
PECOS Enrollment IDI20250729001873

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 Larsen's NPI number?

The NPI number for Mackenzie Larsen is 1649166760. It was assigned to this individual provider in the NPPES registry on June 16, 2025.

Where is Mackenzie Larsen located?

Mackenzie Larsen practices at 1250 Prairie Creek Blvd Unit 201, Oconomowoc, WI 53066. The listed phone number is (920) 284-0618.

What is Mackenzie Larsen's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Mackenzie Larsen enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Mackenzie Larsen was last updated on June 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.