MACKENZIE E DOUGLASS MSN, CNM
NPI 1922446889
Advanced Practice Midwife in Santa Cruz, CA

Q: What is Mackenzie Douglass's NPI number?

The NPI number for Mackenzie Douglass is 1922446889. It was assigned to this individual provider in the NPPES registry on June 12, 2013.

Q: What is Mackenzie Douglass's specialty?

The primary specialty registered for this NPI is Advanced Practice Midwife with taxonomy code 367A00000X.

Active since June 12, 2013PECOS Enrolled

1505 SOQUEL DR STE 1, SANTA CRUZ, CA 95065(831) 465-5440(831) 462-2017 Get Directions Write a Review

NPPES record last updated: July 31, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Mackenzie E Douglass Msn, Cnm NPPES

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

MACKENZIE E DOUGLASS MSN, CNM (NPI 1922446889) is an individual advanced practice midwife in Santa Cruz, California, licensed in California (95212458) and active in the NPI registry since June 2013. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1922446889

Entity TypeIndividualFemale

Primary Taxonomy367A00000X

Provider Legal NameMACKENZIE E DOUGLASSCredential: MSN, CNM

Location Address1505 SOQUEL DR STE 1Santa Cruz, CA 95065-1716

Mailing Address3400 Data Dr, Attn Credentialing/payer EnrollmentRancho Cordova, CA 95670-7956

Phone(831) 465-5440

Fax(831) 462-2017

Sole ProprietorNo

Enumeration DateJune 12, 2013

Last NPPES UpdateJuly 31, 2020

NPPES CertifiedJuly 31, 2020

✔ NPI 1922446889 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAdvanced Practice MidwifePhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code367A00000X

Licenses✔ Licensed in CA · 95212458✔ Licensed in IL · 209.010345✔ Licensed in OH · APRN.CNM.019342

Definition

Advanced practice midwifery encompasses the independent provision of care during pregnancy, childbirth, and the postpartum period; sexual and reproductive health; gynecologic health; and family planning services, including preconception care. Midwives also provide primary care for individuals from adolescence throughout the lifespan as well as care for the healthy newborn during the first 28 days of life. Midwives provide initial and ongoing comprehensive assessment, diagnosis, and treatment. Midwifery care includes health promotion, disease prevention, risk assessment and management, and individualized wellness education and counseling. Source: American College of Nurse-Midwives, www.midwife.org Additional Resources: See the American College of Nurse-Midwives, www.midwife.org, for more information on Certified Nurse-Midwives, Certified Midwives, the American Midwifery Certification Board (AMCB), and licensure.

1505 SOQUEL DR STE 1, Santa Cruz, CA 95065

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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 E Douglass Msn, Cnm 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 95065 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

$96.03 typical visit price

range $62.97 – $186.69

Typical copayment $24.00 (range $15.74 – $46.67)

Most-billed visit code 99203

Established Patient

$77.84 typical visit price

range $21.02 – $153.16

Typical copayment $19.46 (range $5.25 – $38.29)

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 10

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

HSUAN-CHIH CHEN MD

Obstetrics & Gynecology