MCKINZIE EGGERS DE KLERK MD
NPI 1922504604
Family Medicine in Pawtucket, RI
About Mckinzie Eggers De Klerk Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MCKINZIE EGGERS DE KLERK MD (NPI 1922504604) is an individual family medicine provider in Pawtucket, Rhode Island, licensed in Rhode Island (MD17959) and active in the NPI registry since April 2018. She is enrolled in Medicare PECOS, is affiliated with The Miriam Hospital, and is a graduate of State University Of Ny Upstate Medical University (2018).
NPPES Registry Identity
Specialties & Licenses
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
Mckinzie Eggers De Klerk Md 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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
The Miriam Hospital
Acute Care Hospitals · Providence, RIPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 02860 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
PAWTUCKET, RI 02860
PAWTUCKET, RI 02860
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 Mckinzie Eggers De Klerk's NPI number?
The NPI number for Mckinzie Eggers De Klerk is 1922504604. It was assigned to this individual provider in the NPPES registry on April 2, 2018.
Where is Mckinzie Eggers De Klerk located?
Mckinzie Eggers De Klerk practices at 39 East Ave, Pawtucket, RI 02860. The listed phone number is (401) 312-9808.
What is Mckinzie Eggers De Klerk's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Mckinzie Eggers De Klerk enrolled in Medicare?
Yes. Mckinzie Eggers De Klerk 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.
Is Mckinzie Eggers De Klerk affiliated with any hospitals?
According to CMS data, Mckinzie Eggers De Klerk is affiliated with The Miriam Hospital.
When was this NPI record last updated?
The NPPES record for Mckinzie Eggers De Klerk was last updated on February 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Mckinzie Eggers De Klerk, MD · NPI 1922504604
Family Medicine physician in Pawtucket, Rhode Island. Individual provider, active in the CMS NPPES registry since April 2, 2018.
## Identity
- **NPI:** 1922504604 (Entity type: Individual)
- **Enumerated:** April 2, 2018
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** MD17959 (Rhode Island)
- **Sole proprietor:** No
## Practice location
- **Address:** 39 EAST AVE, Pawtucket, RI 02860-4003
- **Phone:** (401) 312-9808
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** State University Of Ny Upstate Medical University, class of 2018
## Record status
- **NPPES last updated:** February 19, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1922504604) · Data from the CMS NPPES public registry.