MATTHEW EDWARD MCKENZIE
NPI 1861194235
Student in an Organized Health Care Education/Training Program in Providence, RI

Active since March 20, 2023PECOS Enrolled
593 EDDY ST, PROVIDENCE, RI 02903(401) 444-3420 Get Directions Write a Review

NPPES record last updated: May 14, 2026. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: May 14, 2026, Mar 20, 2023 (2 updates tracked since 2023).

About Matthew Edward Mckenzie NPPES

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

MATTHEW EDWARD MCKENZIE (NPI 1861194235) is an individual student in an organized health care education/training program in Providence, Rhode Island and active in the NPI registry since March 2023. He is enrolled in Medicare PECOS and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1861194235
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameMATTHEW EDWARD MCKENZIE
Location Address593 EDDY STProvidence, RI 02903-4923
Mailing Address593 Eddy StProvidence, RI 02903-4923
Sole ProprietorNo
Enumeration DateMarch 20, 2023
Last NPPES UpdateMay 14, 20262 updates tracked since enumeration
NPPES CertifiedMay 14, 2026
NPI 1861194235 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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.
593 EDDY ST, Providence, RI 02903

Secondary Practice Locations 3

Location 1375 Wampanoag TrlRiverside, RI 02915-2232 · Phone (401) 649-4090
Location 2245 Chapman StProvidence, RI 02905-4539 · Phone (401) 444-8344
Location 3101 Stadium DrMorgantown, WV 26506-7911 · Phone (304) 598-4850 · Fax (304) 598-4871

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Matthew Edward Mckenzie 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.

Anesthesiology
593 EDDY ST, APC 6
PROVIDENCE, RI 02903
Surgery
593 EDDY ST
PROVIDENCE, RI 02903
General Acute Care Hospital
593 EDDY ST, MAIN 4
PROVIDENCE, RI 02903
Pathology (Anatomic Pathology & Clinical Pathology)
593 EDDY ST
PROVIDENCE, RI 02903
Psychiatry & Neurology (Neurology)
593 EDDY ST
PROVIDENCE, RI 02903
Student in an Organized Health Care Education/Training Program
593 EDDY ST
PROVIDENCE, RI 02903
Physician Assistant
593 EDDY ST
PROVIDENCE, RI 02903
Student in an Organized Health Care Education/Training Program
593 EDDY ST
PROVIDENCE, RI 02903

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 Matthew Mckenzie's NPI number?

The NPI number for Matthew Mckenzie is 1861194235. It was assigned to this individual provider in the NPPES registry on March 20, 2023.

Where is Matthew Mckenzie located?

Matthew Mckenzie practices at 593 Eddy St, Providence, RI 02903. The listed phone number is (401) 444-3420.

What is Matthew Mckenzie's specialty?

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

Is Matthew Mckenzie enrolled in Medicare?

Yes. Matthew Mckenzie is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Matthew Mckenzie was last updated on May 14, 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.