MCKENZI FARAK
NPI 1740178417
Physician Assistant - Surgical in Phoenix, AZ
About Mckenzi Farak NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MCKENZI FARAK (NPI 1740178417) is an individual surgical provider in Phoenix, Arizona, licensed in Arizona (11146) and active in the NPI registry since June 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2025).
NPPES Registry Identity
Specialties & Licenses 2
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
Mckenzi Farak 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.
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.
PHOENIX, AZ 85008
PHOENIX, AZ 85008
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 Mckenzi Farak's NPI number?
The NPI number for Mckenzi Farak is 1740178417. It was assigned to this individual provider in the NPPES registry on June 24, 2025.
Where is Mckenzi Farak located?
Mckenzi Farak practices at 2601 E Roosevelt St, Phoenix, AZ 85008. The listed phone number is (602) 344-5011.
What is Mckenzi Farak's specialty?
The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.
Is Mckenzi Farak enrolled in Medicare?
Yes. Mckenzi Farak 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.
When was this NPI record last updated?
The NPPES record for Mckenzi Farak was last updated on August 14, 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.
# Mckenzi Farak · NPI 1740178417
Surgical physician in Phoenix, Arizona. Individual provider, active in the CMS NPPES registry since June 24, 2025.
## Identity
- **NPI:** 1740178417 (Entity type: Individual)
- **Enumerated:** June 24, 2025
- **Primary specialty:** Physician Assistant - Surgical · taxonomy 363AS0400X
- **State license:** 11146 (Arizona)
- **Sole proprietor:** No
## Practice location
- **Address:** 2601 E ROOSEVELT ST, Phoenix, AZ 85008-4973
- **Phone:** (602) 344-5011
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2025
## Record status
- **NPPES last updated:** August 14, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1740178417) · Data from the CMS NPPES public registry.