MACKENZIE S WARRICK PA
NPI 1730720301
Physician Assistant in South Bend, IN

Q: What is Mackenzie Warrick's NPI number?

The NPI number for Mackenzie Warrick is 1730720301. It was assigned to this individual provider in the NPPES registry on October 3, 2019. The provider is also known as Mackenzie S Redman Pa-C.

Q: What is Mackenzie Warrick's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Mackenzie Warrick was last updated on June 11, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years 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.

Active since October 03, 2019PECOS Enrolled

53880 CARMICHAEL DR, SOUTH BEND, IN 46635(574) 247-9441(574) 247-9442 Get Directions Write a Review

NPPES record last updated: June 11, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 11, 2020, Oct 3, 2019 (2 updates tracked since 2019).

On this page

About Mackenzie S Warrick Pa NPPES

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

MACKENZIE S WARRICK PA (NPI 1730720301) is an individual physician assistant in South Bend, Indiana and active in the NPI registry since October 2019. She is enrolled in Medicare PECOS and maintains a secondary practice location in Mishawaka.

NPPES Registry Identity

NPI1730720301

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameMACKENZIE S WARRICKCredential: PA

Location Address53880 CARMICHAEL DRSouth Bend, IN 46635-1567

Mailing Address53880 Carmichael DrSouth Bend, IN 46635-1567 · (574) 247-9441 · Fax (574) 247-9442

Phone(574) 247-9441

Fax(574) 247-9442

Sole ProprietorNo

Enumeration DateOctober 3, 2019

Last NPPES UpdateJune 11, 20202 updates tracked since enumeration

NPPES CertifiedJune 11, 2020

✔ NPI 1730720301 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

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.

53880 CARMICHAEL DR, South Bend, IN 46635

Open in Google Maps ↗

Other Names 1

Former Name (1)Mackenzie S Redman Pa-c

Secondary Practice Location 1

Location 160160 Bodnar BlvdMishawaka, IN 46544-9338 · Phone (574) 247-9441 · Fax (574) 247-9442

Other Identifiers 1

Other10002823AIN · Indiana Medical License

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.Insurance ›

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 S Warrick Pa 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 46635 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

$82.04 typical visit price

range $53.07 – $161.76

Typical copayment $20.51 (range $13.26 – $40.44)

Most-billed visit code 99203

Established Patient

$66.48 typical visit price

range $16.93 – $132.22

Typical copayment $16.62 (range $4.23 – $33.05)

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.

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.

Heavy duty wheelchair K0006

DME-Wheelchairs · category DD000N

1 supplier11 claims11 services$43.69 avg. paid by Medicare

Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf L4361

DME-Orthotic Devices · category DF003N

2 suppliers22 claims22 services$211.12 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.

MELANIE DAGGY PTA

Physical Therapy Assistant