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GRANT MACKINNON
NPI 1720666795
Student in an Organized Health Care Education/Training Program in Muncie, IN

Active since March 31, 2021PECOS Enrolled
2401 W UNIVERSITY AVE, MUNCIE, IN 47303(765) 741-1095 Get Directions Write a Review

NPPES record last updated: April 30, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Apr 30, 2022, Mar 31, 2021 (2 updates tracked since 2021).

About Grant Mackinnon NPPES

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

GRANT MACKINNON (NPI 1720666795) is an individual student in an organized health care education/training program in Muncie, Indiana and active in the NPI registry since March 2021. He is enrolled in Medicare PECOS, maintains a secondary practice location in Ann Arbor, and is a graduate of Vanderbilt University School Of Medicine (2021).

NPPES Registry Identity

NPI1720666795
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameGRANT MACKINNON
Location Address2401 W UNIVERSITY AVEMuncie, IN 47303-3428
Mailing Address2401 W University AveMuncie, IN 47303-3428 · (765) 741-1095
Phone(765) 741-1095
Sole ProprietorNo
Medical School CMSVanderbilt University School Of MedicineGraduated 2021
Enumeration DateMarch 31, 2021
Last NPPES UpdateApril 30, 20222 updates tracked since enumeration
NPPES CertifiedApril 30, 2022
✔ NPI 1720666795 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

2401 W UNIVERSITY AVE, Muncie, IN 47303
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Secondary Practice Location 1

Location 11500 E Medical Center DrAnn Arbor, MI 48109-5000 · Phone (734) 936-4000

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Grant Mackinnon is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4385044098
PECOS Enrollment IDI20260413001610
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.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier11 claims11 services$15.98 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier11 claims11 services$89.13 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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. TARYN D PAPANDRIA D.O.
Emergency Medicine
2401 W UNIVERSITY AVE
MUNCIE, IN 47303
Delaware County (765) 741-1411
MR. CHRISTOPHER C STEPHENSON PA-C
Physician Assistant
2401 W UNIVERSITY AVE
MUNCIE, IN 47303
Delaware County (260) 969-1950
EMERGENCY PHYSICIANS OF DELAWARE COUNTY, P.C.
Emergency Medicine
2401 W UNIVERSITY AVE
MUNCIE, IN 47303
Delaware County (260) 969-1950
MS. NIRUPAMA JACOB PT, CWS
Physical Therapist
2401 W UNIVERSITY AVE
MUNCIE, IN 47303
Delaware County (765) 747-3656
WILLIAM B FISHER MD
Internal Medicine (Hematology & Oncology)
2401 W UNIVERSITY AVE, CANCER CENTER
MUNCIE, IN 47303
Delaware County (768) 281-2030
DOYLE L STEPHENS MD
Internal Medicine (Hematology & Oncology)
2401 W UNIVERSITY AVE, CANCER CENTER
MUNCIE, IN 47303
Delaware County (765) 281-2000
MR. BRYAN VANWOOD STEVENS MSPT
Physical Therapist
2401 W UNIVERSITY AVE
MUNCIE, IN 47303
Delaware County (765) 213-3870
SINDEE J FRY NP
Nurse Practitioner
2401 W UNIVERSITY AVE
MUNCIE, IN 47303
Delaware County (765) 747-3370

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 Grant Mackinnon's NPI number?

The NPI number for Grant Mackinnon is 1720666795. It was assigned to this individual provider in the NPPES registry on March 31, 2021.

Where is Grant Mackinnon located?

Grant Mackinnon practices at 2401 W University Ave, Muncie, IN 47303. The listed phone number is (765) 741-1095.

What is Grant Mackinnon's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Grant Mackinnon enrolled in Medicare?

Yes. Grant Mackinnon is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Grant Mackinnon was last updated on April 30, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.