MEKENZIE NELSON
NPI 1740145929
Student in an Organized Health Care Education/Training Program in Loma Linda, CA

Active since December 18, 2025PECOS Enrolled
24785 STEWART ST, LOMA LINDA, CA 92350(909) 558-7295 Get Directions Write a Review

NPPES record last updated: December 18, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mekenzie Nelson NPPES

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

MEKENZIE NELSON (NPI 1740145929) is an individual student in an organized health care education/training program in Loma Linda, California and active in the NPI registry since December 2025. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1740145929
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameMEKENZIE NELSON
Location Address24785 STEWART STLoma Linda, CA 92350-1721
Mailing Address24785 Stewart StLoma Linda, CA 92350-1721 · (909) 558-7295
Sole ProprietorNo
Enumeration DateDecember 18, 2025
NPPES CertifiedDecember 18, 2025
NPI 1740145929 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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.
24785 STEWART ST, Loma Linda, CA 92350

Other Names 1

Other Name (5)Mekenzie Smotherman

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Mekenzie Nelson 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.

Other Providers at the Same Location NPPES 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Preventive Medicine (Public Health & General Preventive Medicine)
24785 STEWART ST, EVANS HALL, ROOM 111
LOMA LINDA, CA 92350
Preventive Medicine (Public Health & General Preventive Medicine)
24785 STEWART ST, EVANS HALL SUITE 111
LOMA LINDA, CA 92350
Physician Assistant
24785 STEWART ST
LOMA LINDA, CA 92350
Preventive Medicine (Preventive Medicine/Occupational Environmental Medicine)
24785 STEWART ST, STE 111
LOMA LINDA, CA 92350
Physician Assistant
24785 STEWART ST
LOMA LINDA, CA 92350
Nurse Practitioner (Family)
24785 STEWART ST
LOMA LINDA, CA 92350
Preventive Medicine (Public Health & General Preventive Medicine)
24785 STEWART ST, EVANS HALL, ROOM 101
LOMA LINDA, CA 92350
Student in an Organized Health Care Education/Training Program
24785 STEWART ST
LOMA LINDA, CA 92350

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 Mekenzie Nelson's NPI number?

The NPI number for Mekenzie Nelson is 1740145929. It was assigned to this individual provider in the NPPES registry on December 18, 2025. The provider is also known as Mekenzie Smotherman.

Where is Mekenzie Nelson located?

Mekenzie Nelson practices at 24785 Stewart St, Loma Linda, CA 92350. The listed phone number is (909) 558-7295.

What is Mekenzie Nelson's specialty?

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

Is Mekenzie Nelson enrolled in Medicare?

Yes. Mekenzie Nelson is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Mekenzie Nelson was last updated on December 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.