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MACKENZIE LYNN ROTH PA
NPI 1831765759
Physician Assistant - Medical in Hillsboro, MO

Active since June 01, 2021PECOS EnrolledAccepts Medicare Assignment
5194 JEREMIAH BLVD, HILLSBORO, MO 63050(636) 543-2328(636) 543-2329 Get Directions Write a Review

NPPES record last updated: June 4, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 4, 2024, Jun 1, 2021 (2 updates tracked since 2021).

About Mackenzie Lynn Roth Pa NPPES

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

MACKENZIE LYNN ROTH PA (NPI 1831765759) is an individual medical provider in Hillsboro, Missouri, licensed in Missouri (2021010020) and active in the NPI registry since June 2021. She is enrolled in Medicare PECOS, is affiliated with Mercy Hospital Jefferson, and maintains a secondary practice location in Bloomsdale.

NPPES Registry Identity

NPI1831765759
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameMACKENZIE LYNN ROTHCredential: PA
Location Address5194 JEREMIAH BLVDHillsboro, MO 63050-5815
Mailing AddressPo Box 776084Chicago, IL 60677-6084 · (636) 543-2328 · Fax (636) 543-2329
Phone(636) 543-2328
Fax(636) 543-2329
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateJune 1, 2021
Last NPPES UpdateJune 4, 20242 updates tracked since enumeration
NPPES CertifiedJune 4, 2024
✔ NPI 1831765759 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in MO · 2021010020
5194 JEREMIAH BLVD, Hillsboro, MO 63050
Open in Google Maps ↗

Secondary Practice Location 1

Location 1255 BodermanBloomsdale, MO 63627-9099 · Phone (573) 483-2929 · Fax (573) 483-9612

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and more.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 Lynn Roth Pa 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 ID4082019955
PECOS Enrollment IDI20210817000335
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.

Areas of Expertise CMS Part B claims 7

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
57 services54 patients
Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza 87428
This test uses a method called immunoassay to identify severe acute respiratory syndrome coronavirus and influenza. It works by detecting specific proteins (antigens) in a sample, like a nasal swab. It's a powerful tool in diagnosing these viral infections.
21 services21 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
21 services21 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
19 services19 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
17 services17 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
16 services16 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Mercy Hospital Jefferson

Acute Care Hospitals · Festus, MO
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260023
Location1400 Us Highway 61Festus, MO 63028 · Jefferson County
Emergency services

Other Providers at the Same Location NPPES

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

EMILY JUNE GOVRO DO, MS
Family Medicine
5194 JEREMIAH BLVD
HILLSBORO, MO 63050
Jefferson County (636) 543-2328

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 Roth's NPI number?

The NPI number for Mackenzie Roth is 1831765759. It was assigned to this individual provider in the NPPES registry on June 1, 2021.

Where is Mackenzie Roth located?

Mackenzie Roth practices at 5194 Jeremiah Blvd, Hillsboro, MO 63050. The listed phone number is (636) 543-2328.

What is Mackenzie Roth's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Mackenzie Roth enrolled in Medicare?

Yes. Mackenzie Roth 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 Roth accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health and Ambetter from Sunflower Health Plan and 5 other insurers list Mackenzie Roth 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.

Is Mackenzie Roth affiliated with any hospitals?

According to CMS data, Mackenzie Roth is affiliated with Mercy Hospital Jefferson.

When was this NPI record last updated?

The NPPES record for Mackenzie Roth was last updated on June 4, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.