MACKENZIE MARIE KING PA-C
NPI 1689163669
Physician Assistant in Shelby Township, MI

Active since May 06, 2018PECOS EnrolledAccepts Medicare Assignment
84.72/100
CMS Quality Rating
50505 SCHOENHERR RD, SHELBY TOWNSHIP, MI 48315(586) 731-8400 Get Directions Write a Review

NPPES record last updated: August 25, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 11, 2024, Feb 3, 2022, Apr 24, 2020 and 2 more (5 updates tracked since 2018).

About Mackenzie Marie King Pa-c NPPES

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

MACKENZIE MARIE KING PA-C (NPI 1689163669) is an individual physician assistant in Shelby Township, Michigan, licensed in Michigan (5601010430) and active in the NPI registry since May 2018. She is enrolled in Medicare PECOS, is affiliated with Ascension St John Hospital, and maintains a secondary practice location in Grosse Pointe.

NPPES Registry Identity

NPI1689163669
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMACKENZIE MARIE KINGCredential: PA-C
Location Address50505 SCHOENHERR RDShelby Township, MI 48315-3140
Mailing Address50505 Schoenherr Rd Ste 340Shelby Township, MI 48315-3140 · (586) 731-8400
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateMay 6, 2018
Last NPPES UpdateAugust 25, 20255 updates tracked since enumeration
NPPES CertifiedAugust 24, 2025
NPI 1689163669 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 · 5601010430
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.
50505 SCHOENHERR RD, Shelby Township, MI 48315

Secondary Practice Location 1

Location 1468 Cadieux RdGrosse Pointe, MI 48230-1507 · Phone (313) 473-1000

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 Marie King 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 ID547666083
PECOS Enrollment IDI20210908001918
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.

Areas of Expertise CMS Part B claims

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.

Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
11 services11 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Ascension St John Hospital

Acute Care Hospitals · Detroit, MI
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number230165
Location22101 Moross RdDetroit, MI 48236 · Wayne County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48315 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.

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.

84.72/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality80.68
Promoting Interoperability100
Improvement Activities40
Cost68.39

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.

Counselor
50505 SCHOENHERR RD, SUITE 270
SHELBY TOWNSHIP, MI 48315
Hospitalist
50505 SCHOENHERR RD, SUITE 340
SHELBY TOWNSHIP, MI 48315
Nurse Practitioner (Gerontology)
50505 SCHOENHERR RD, STE. 340
SHELBY TOWNSHIP, MI 48315
Podiatrist
50505 SCHOENHERR RD, SUITE 230
SHELBY TWP, MI 48315
Neurological Surgery
50505 SCHOENHERR RD, STE 200
SHELBY TWP, MI 48315
General Acute Care Hospital
50505 SCHOENHERR RD, SUITE 330
SHELBY TOWNSHIP, MI 48315
Pharmacy (Community/Retail Pharmacy)
50505 SCHOENHERR RD, SUITE 130
SHELBY TWP, MI 48315
Internal Medicine (Pulmonary Disease)
50505 SCHOENHERR RD, SUITE 290
SHELBY TWP, MI 48315

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 King's NPI number?

The NPI number for Mackenzie King is 1689163669. It was assigned to this individual provider in the NPPES registry on May 6, 2018.

Where is Mackenzie King located?

Mackenzie King practices at 50505 Schoenherr Rd, Shelby Township, MI 48315. The listed phone number is (586) 731-8400.

What is Mackenzie King's specialty?

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

Is Mackenzie King enrolled in Medicare?

Yes. Mackenzie King 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 King accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and Priority Health list Mackenzie King 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 King affiliated with any hospitals?

According to CMS data, Mackenzie King is affiliated with Ascension St John Hospital.

When was this NPI record last updated?

The NPPES record for Mackenzie King was last updated on August 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.