MACKENZIE FAITH THOMPSON PA-C
NPI 1790419174
Physician Assistant in Bloomington, IN

Active since July 12, 2022PECOS EnrolledAccepts Medicare Assignment
1010 W 2ND ST, BLOOMINGTON, IN 47403(812) 200-2458(930) 200-8590 Get Directions Write a Review

NPPES record last updated: July 10, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 10, 2025, Jul 12, 2022 (2 updates tracked since 2022).

About Mackenzie Faith Thompson Pa-c NPPES

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

MACKENZIE FAITH THOMPSON PA-C (NPI 1790419174) is an individual physician assistant in Bloomington, Indiana, licensed in Indiana (10004876A) and active in the NPI registry since July 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1790419174
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMACKENZIE FAITH THOMPSONCredential: PA-C
Location Address1010 W 2ND STBloomington, IN 47403-2217
Mailing Address111 New Hampshire Ave Ste 2Portsmouth, NH 03801-2864 · (330) 947-6021
Fax(930) 200-8590
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateJuly 12, 2022
Last NPPES UpdateJuly 10, 20252 updates tracked since enumeration
NPPES CertifiedJuly 10, 2025
NPI 1790419174 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in IN · 10004876A
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.
1010 W 2ND ST, Bloomington, IN 47403

Other Names 1

Former Name (1)Mackenzie Lubbehusen

Accepted Insurance

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

Mackenzie Faith Thompson Pa-c 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.

PECOS PAC ID6901312511
PECOS Enrollment IDI20250721003872
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 47403 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.

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.

Specialist
1010 W 2ND ST
BLOOMINGTON, IN 47403
Obstetrics & Gynecology
1010 W 2ND ST
BLOOMINGTON, IN 47403
Dermatology
1010 W 2ND ST
BLOOMINGTON, IN 47403
Obstetrics & Gynecology
1010 W 2ND ST
BLOOMINGTON, IN 47403
Nurse Practitioner (Family)
1010 W 2ND ST
BLOOMINGTON, IN 47403
Specialist
1010 W 2ND ST
BLOOMINGTON, IN 47403
Physician Assistant
1010 W 2ND ST
BLOOMINGTON, IN 47403
Dermatology
1010 W 2ND ST
BLOOMINGTON, IN 47403

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 Thompson's NPI number?

The NPI number for Mackenzie Thompson is 1790419174. It was assigned to this individual provider in the NPPES registry on July 12, 2022. The provider is also known as Mackenzie Lubbehusen.

Where is Mackenzie Thompson located?

Mackenzie Thompson practices at 1010 W 2nd St, Bloomington, IN 47403. The listed phone number is (812) 200-2458.

What is Mackenzie Thompson's specialty?

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

Is Mackenzie Thompson enrolled in Medicare?

Yes. Mackenzie Thompson 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.

What insurance does Mackenzie Thompson accept?

Health plans from CareSource list Mackenzie Thompson 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 Thompson was last updated on July 10, 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.