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MACKENZIE DEOBALD STUDENT
NPI 1770335945
Nurse Anesthetist, Certified Registered in Iowa City, IA

Active since April 02, 2024PECOS Enrolled
200 HAWKINS DR, IOWA CITY, IA 52242(319) 356-1616 Get Directions Write a Review

NPPES record last updated: July 31, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Jul 31, 2026, Apr 2, 2024 (2 updates tracked since 2024).

About Mackenzie Deobald Student NPPES

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

MACKENZIE DEOBALD STUDENT (NPI 1770335945) is an individual nurse anesthetist, certified registered in Iowa City, Iowa, licensed in Iowa (D156898) and active in the NPI registry since April 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2026).

NPPES Registry Identity

NPI1770335945
Entity TypeIndividualFemale
Primary Taxonomy367500000X
Provider Legal NameMACKENZIE DEOBALDCredential: STUDENT
Location Address200 HAWKINS DRIowa City, IA 52242-1009
Mailing Address230 Lee StIowa City, IA 52246-3810 · (208) 841-5035
Phone(319) 356-1616
Sole ProprietorNo
Medical School CMSOtherGraduated 2026
Enumeration DateApril 2, 2024
Last NPPES UpdateJuly 31, 20262 updates tracked since enumeration
NPPES CertifiedJuly 31, 2026
✔ NPI 1770335945 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
License✔ Licensed in IA · D156898
Definition
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
200 HAWKINS DR, Iowa City, IA 52242
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Wellmark Health Plan of Iowa, Inc..Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

PECOS PAC ID7012475015
PECOS Enrollment IDI20260820000293
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 Deobald reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Apollo Anesthesia And Pain Management, PLLC
54 mi
Nurse Anesthetist, Certified Registered
520 VALLEY VIEW DR STE 300
Moline, IL 61265
  • Reassigned Medicare billing, Iowa enrollment
  • 35 clinicians in this Medicare group
NPI 1265051817 (563) 299-1292

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 52242 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
$122.23 typical visit price
range $52.96 – $161.40
Typical copayment $30.55 (range $13.24 – $40.35)
Most-billed visit code 99204
Established Patient
$66.36 typical visit price
range $16.91 – $131.98
Typical copayment $16.59 (range $4.22 – $32.99)
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.

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.

SANGIL LEE M.D.
Emergency Medicine
200 HAWKINS DR
IOWA CITY, IA 52242
Johnson County (319) 356-2233
RAMI G. EL ABIAD M.D.
Internal Medicine (Gastroenterology)
200 HAWKINS DR
IOWA CITY, IA 52242
Johnson County (319) 356-4901
GRERK SUTAMTEWAGUL MD
Internal Medicine (Hematology & Oncology)
200 HAWKINS DR, DEPT OF INTERNAL MEDICINE
IOWA CITY, IA 52242
Johnson County (319) 356-1616
DR. KALEB TANNER VEIT D.O.
Internal Medicine (Critical Care Medicine)
200 HAWKINS DR
IOWA CITY, IA 52242
Johnson County (319) 356-2320
OMAR JABER M.D
Chronic Disease Hospital
200 HAWKINS DR
IOWA CITY, IA 52242
Johnson County (319) 471-8958
JENNIFER MANCUSO MS, CGC
Genetic Counselor, MS
200 HAWKINS DR, 31663 PFP
IOWA CITY, IA 52242
Johnson County (319) 384-7983
ASHLEY KAISER M.D.
Obstetrics & Gynecology
200 HAWKINS DR, DEPT OF OBGYN
IOWA CITY, IA 52242
Johnson County (319) 356-2294
MRS. NANCY JANE MILLICE
Health Educator
200 HAWKINS DR, 0733 JPP
IOWA CITY, IA 52242
Johnson County (319) 356-3825

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 Deobald's NPI number?

The NPI number for Mackenzie Deobald is 1770335945. It was assigned to this individual provider in the NPPES registry on April 2, 2024.

Where is Mackenzie Deobald located?

Mackenzie Deobald practices at 200 Hawkins Dr, Iowa City, IA 52242. The listed phone number is (319) 356-1616.

What is Mackenzie Deobald's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Is Mackenzie Deobald enrolled in Medicare?

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

Which organization bills Medicare for Mackenzie Deobald's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mackenzie Deobald reassigns Medicare benefits to Apollo Anesthesia And Pain Management, PLLC (Moline, IL). 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 Deobald's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mackenzie Deobald accept?

Health plans from Wellmark Health Plan of Iowa, Inc. list Mackenzie Deobald as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Mackenzie Deobald was last updated on July 31, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.