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MACKENZIE BERNU MD
NPI 1710731682
Family Medicine in Saint Paul, MN

Active since April 16, 2024PECOS Enrolled
580 RICE ST, SAINT PAUL, MN 55103(651) 227-6551 Get Directions Write a Review

NPPES record last updated: April 20, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 20, 2026, Apr 16, 2024 (2 updates tracked since 2024).

About Mackenzie Bernu Md NPPES

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

MACKENZIE BERNU MD (NPI 1710731682) is an individual family medicine provider in Saint Paul, Minnesota, licensed in Minnesota (80684) and active in the NPI registry since April 2024. She is enrolled in Medicare PECOS and is a graduate of Creighton University School Of Medicine (2024).

NPPES Registry Identity

NPI1710731682
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameMACKENZIE BERNUCredential: MD
Location Address580 RICE STSaint Paul, MN 55103-2148
Mailing Address580 Rice StSaint Paul, MN 55103-2148
Phone(651) 227-6551
Sole ProprietorNo
Medical School CMSCreighton University School Of MedicineGraduated 2024
Enumeration DateApril 16, 2024
Last NPPES UpdateApril 20, 20262 updates tracked since enumeration
NPPES CertifiedApril 20, 2026
✔ NPI 1710731682 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in MN · 80684
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
580 RICE ST, Saint Paul, MN 55103
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mackenzie Bernu Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8527502673
PECOS Enrollment IDI20260423001783
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.

Medicare Billing Reassignment

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

Fairview Clinics
Same address
Clinic/Center
580 RICE ST
Saint Paul, MN 55103
  • Reassigned Medicare billing, Minnesota enrollment
  • 2,302 clinicians in this Medicare group
NPI 1306470737 (651) 227-6551

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55103 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
$98.61 typical visit price
range $18.32 – $138.04
Typical copayment $24.65 (range $4.58 – $34.51)
Most-billed visit code 99214
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.

DR. BRIANNA MARIE JUDD M.D.
Student in an Organized Health Care Education/Training Program
580 RICE ST
SAINT PAUL, MN 55103
Ramsey County (651) 227-6551
CHRISTA LANE WAYMIRE M.D.
Family Medicine
580 RICE ST
SAINT PAUL, MN 55103
Ramsey County (651) 227-6551
ABBIE J METZLER D.O.
Family Medicine
580 RICE ST
SAINT PAUL, MN 55103
Ramsey County (651) 227-6551
CENTER FOR VICTIMS OF TORTURE - BETHESDA
Community/Behavioral Health
580 RICE ST
SAINT PAUL, MN 55103
Ramsey County (651) 227-6551
MICHAEL ANNE SCHROEDER-TOYA J.D., M.D.
Family Medicine
580 RICE ST
SAINT PAUL, MN 55103
Ramsey County (651) 227-6551
SINDHU MANIVANNAN MD
Student in an Organized Health Care Education/Training Program
580 RICE ST
SAINT PAUL, MN 55103
Ramsey County (651) 227-6551
MR. MICHAEL THOMAS UNDERWOOD
Pharmacist
580 RICE ST
SAINT PAUL, MN 55103
Ramsey County (651) 292-9728
SHAUN W KWOSEK MD
Student in an Organized Health Care Education/Training Program
580 RICE ST, BETHESDA CLINIC
SAINT PAUL, MN 55103
Ramsey County (773) 655-0610

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 Bernu's NPI number?

The NPI number for Mackenzie Bernu is 1710731682. It was assigned to this individual provider in the NPPES registry on April 16, 2024.

Where is Mackenzie Bernu located?

Mackenzie Bernu practices at 580 Rice St, Saint Paul, MN 55103. The listed phone number is (651) 227-6551.

What is Mackenzie Bernu's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Mackenzie Bernu enrolled in Medicare?

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

Which organization bills Medicare for Mackenzie Bernu's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mackenzie Bernu reassigns Medicare benefits to Fairview Clinics (Saint Paul, MN). 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 Bernu's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Mackenzie Bernu was last updated on April 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.