MACKENZIE CLAIRE MILLER
NPI 1770338725
Student in an Organized Health Care Education/Training Program in Fayetteville, NC

Q: What is Mackenzie Miller's NPI number?

The NPI number for Mackenzie Miller is 1770338725. It was assigned to this individual provider in the NPPES registry on April 23, 2024.

Q: What is Mackenzie Miller's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Mackenzie Miller was last updated on August 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.

Active since April 23, 2024PECOS Enrolled

1638 OWEN DR, FAYETTEVILLE, NC 28304(910) 615-3333 Get Directions Write a Review

NPPES record last updated: August 7, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 7, 2025, May 6, 2024, Apr 24, 2024 (3 updates tracked since 2024).

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About Mackenzie Claire Miller NPPES

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

MACKENZIE CLAIRE MILLER (NPI 1770338725) is an individual student in an organized health care education/training program in Fayetteville, North Carolina and active in the NPI registry since April 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1770338725

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameMACKENZIE CLAIRE MILLER

Location Address1638 OWEN DRFayetteville, NC 28304-3424

Mailing Address1638 Owen DrFayetteville, NC 28304-3424 · (910) 615-3333

Phone(910) 615-3333

Sole ProprietorYes

Enumeration DateApril 23, 2024

Last NPPES UpdateAugust 7, 20253 updates tracked since enumeration

NPPES CertifiedAugust 7, 2025

✔ NPI 1770338725 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.

1638 OWEN DR, Fayetteville, NC 28304

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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 Claire Miller 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 20

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

MR. KEVIN TRAVIS WORTH CRNA

Nurse Anesthetist, Certified Registered