MRS. MACKENNA MARIE SIMPSON PA-C
NPI 1922451103
Physician Assistant in Clackamas, OR

Active since July 22, 2016PECOS EnrolledAccepts Medicare Assignment
9290 SE SUNNYBROOK BLVD, #120, CLACKAMAS, OR 97015(503) 215-2110 Get Directions Write a Review

NPPES record last updated: October 13, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Oct 13, 2021, Jun 25, 2021 (2 updates tracked since 2021).

About Mrs. Mackenna Marie Simpson Pa-c NPPES

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

MRS. MACKENNA MARIE SIMPSON PA-C (NPI 1922451103) is an individual physician assistant in Clackamas, Oregon, licensed in Oregon (PA179024) and active in the NPI registry since July 2016. She is enrolled in Medicare PECOS, is affiliated with Providence Portland Medical Center, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1922451103
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMRS. MACKENNA MARIE SIMPSONCredential: PA-C
Location Address9290 SE SUNNYBROOK BLVD, #120Clackamas, OR 97015-6899
Mailing Address9290 Se Sunnybrook Blvd, #120Clackamas, OR 97015-6899 · (503) 215-2110
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateJuly 22, 2016
Last NPPES UpdateOctober 13, 20212 updates tracked since enumeration
NPPES CertifiedOctober 13, 2021
NPI 1922451103 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 OR · PA179024
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.

9290 SE SUNNYBROOK BLVD, Clackamas, OR 97015

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

Mrs. Mackenna Marie Simpson 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 ID6406143098
PECOS Enrollment IDI20160926001476
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 3

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 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.
50 services38 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.
19 services19 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
12 services12 patients

Hospital Affiliations CMS Care Compare 2

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

Providence Portland Medical Center

Acute Care Hospitals · Portland, OR
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number380061
Location4805 NE Glisan StreetPortland, OR 97213 · Multnomah County
Emergency services Birthing friendly

Providence Milwaukie Hospital

Acute Care Hospitals · Milwaukie, OR
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number380082
Location10150 SE 32nd AvenueMilwaukie, OR 97222 · Clackamas County

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97015 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
$90.51 typical visit price
range $58.99 – $176.88
Typical copayment $22.62 (range $14.74 – $44.22)
Most-billed visit code 99203
Established Patient
$73.28 typical visit price
range $19.32 – $144.79
Typical copayment $18.32 (range $4.83 – $36.19)
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 20

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

Pediatrics
9290 SE SUNNYBROOK BLVD, STE 200
CLACKAMAS, OR 97015
Internal Medicine
9290 SE SUNNYBROOK BLVD, SUITE 210
CLACKAMAS, OR 97015
Family Medicine
9290 SE SUNNYBROOK BLVD, SUITE 120
CLACKAMAS, OR 97015
Internal Medicine
9290 SE SUNNYBROOK BLVD, SUITE 120
CLACKAMAS, OR 97015
Pediatrics
9290 SE SUNNYBROOK BLVD, SUITE 200
CLACKAMAS, OR 97015
Nurse Practitioner (Adult Health)
9290 SE SUNNYBROOK BLVD, SUITE 120
CLACKAMAS, OR 97015
Psychologist (Clinical)
9290 SE SUNNYBROOK BLVD
CLACKAMAS, OR 97015
Marriage & Family Therapist
9290 SE SUNNYBROOK BLVD, SUITE 200
CLACKAMAS, OR 97015

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1922451103, enumerated as an "individual" on July 22, 2016.

The provider is located at 9290 SE SUNNYBROOK BLVD #120 CLACKAMAS, OR 97015 and the phone number is (503) 215-2110.

Physician Assistant with taxonomy code 363A00000X.

Mackenna Simpson is affiliated with: PROVIDENCE PORTLAND MEDICAL CENTER and PROVIDENCE MILWAUKIE HOSPITAL.