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MAKENZIE T TILLER PA-C
NPI 1871089508
Physician Assistant in South Charleston, WV

Active since July 05, 2018PECOS Enrolled
707 CHESTNUT ST, SOUTH CHARLESTON, WV 25309(304) 768-8500(304) 768-8530 Get Directions Write a Review

NPPES record last updated: July 17, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 17, 2024, Jun 28, 2024, Jul 29, 2022 and 3 more (6 updates tracked since 2018).

About Makenzie T Tiller Pa-c NPPES

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

MAKENZIE T TILLER PA-C (NPI 1871089508) is an individual physician assistant in South Charleston, West Virginia, licensed in West Virginia (2189) and active in the NPI registry since July 2018. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1871089508
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMAKENZIE T TILLERCredential: PA-C
Location Address707 CHESTNUT STSouth Charleston, WV 25309-2003
Mailing Address707 Chestnut StSouth Charleston, WV 25309-2003 · (304) 768-8500 · Fax (304) 768-8530
Phone(304) 768-8500
Fax(304) 768-8530
Sole ProprietorNo
Enumeration DateJuly 5, 2018
Last NPPES UpdateJuly 17, 20246 updates tracked since enumeration
NPPES CertifiedJuly 17, 2024
✔ NPI 1871089508 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in WV · 2189
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.
Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X · License 2189 (WV)
707 CHESTNUT ST, South Charleston, WV 25309
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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)

Makenzie T Tiller Pa-c 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 25309 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
$83.49 typical visit price
range $53.20 – $164.59
Typical copayment $20.87 (range $13.30 – $41.14)
Most-billed visit code 99203
Established Patient
$66.84 typical visit price
range $16.47 – $133.29
Typical copayment $16.71 (range $4.11 – $33.32)
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 8

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

GREGORY PORTER PA
Physician Assistant
707 CHESTNUT ST
SOUTH CHARLESTON, WV 25309
Kanawha County (304) 768-8500
DR. DINA MARIE CRINITI D.O.
Internal Medicine
707 CHESTNUT ST
SOUTH CHARLESTON, WV 25309
Kanawha County (304) 768-8500
DR. CHAD C TURNER MD
Family Medicine
707 CHESTNUT ST
SOUTH CHARLESTON, WV 25309
Kanawha County (304) 768-8500
SPRING HILL PRIMARY CARE PHYSICIANS PLLC
Internal Medicine
707 CHESTNUT ST
SOUTH CHARLESTON, WV 25309
Kanawha County (304) 768-8500
DR. CHRISTOPHER CLEVELAND SKAGGS M.D.
Internal Medicine
707 CHESTNUT ST
SOUTH CHARLESTON, WV 25309
Kanawha County (304) 768-8500
JOSHUA BRADFORD DO
Family Medicine
707 CHESTNUT ST
SOUTH CHARLESTON, WV 25309
Kanawha County (304) 768-8500
ROBERT L HIVELY M.D.
Family Medicine
707 CHESTNUT ST
SOUTH CHARLESTON, WV 25309
Kanawha County (304) 768-8500
DR. JEFFREY KENT BATES D.O.
Internal Medicine
707 CHESTNUT ST
SOUTH CHARLESTON, WV 25309
Kanawha County (304) 768-8500

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 Makenzie Tiller's NPI number?

The NPI number for Makenzie Tiller is 1871089508. It was assigned to this individual provider in the NPPES registry on July 5, 2018.

Where is Makenzie Tiller located?

Makenzie Tiller practices at 707 Chestnut St, South Charleston, WV 25309. The listed phone number is (304) 768-8500.

What is Makenzie Tiller's specialty?

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

Is Makenzie Tiller enrolled in Medicare?

Yes. Makenzie Tiller is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Makenzie Tiller was last updated on July 17, 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.