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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MACKENZIE DILLIS
NPI 1932740214
Advanced Practice Midwife in Lodi, CA

Active since October 08, 2019PECOS Enrolled
1150 S CHEROKEE LN, LODI, CA 95240(209) 370-1700 Get Directions Write a Review

NPPES record last updated: September 8, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 8, 2026, Oct 22, 2019, Oct 8, 2019 (3 updates tracked since 2019).

About Mackenzie Dillis NPPES

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

MACKENZIE DILLIS (NPI 1932740214) is an individual advanced practice midwife in Lodi, California, licensed in California (NMW236202) and active in the NPI registry since October 2019. She is enrolled in Medicare PECOS and maintains a secondary practice location in Lodi.

NPPES Registry Identity

NPI1932740214
Entity TypeIndividualFemale
Primary Taxonomy367A00000X
Provider Legal NameMACKENZIE DILLIS
Location Address1150 S CHEROKEE LNLodi, CA 95240-5918
Mailing Address2401 W Turner Rd Ste 450Lodi, CA 95242-2191
Phone(209) 370-1700
Sole ProprietorNo
Enumeration DateOctober 8, 2019
Last NPPES UpdateSeptember 8, 20263 updates tracked since enumeration
NPPES CertifiedSeptember 8, 2026
✔ NPI 1932740214 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
License✔ Licensed in CA · NMW236202
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.
1150 S CHEROKEE LN, Lodi, CA 95240
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Secondary Practice Location 1

Location 12401 W Turner Rd Ste 450Lodi, CA 95242 · Phone (209) 370-1700

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mackenzie Dillis 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.

Medicare Billing Reassignment

Medicare enrollment records show Mackenzie Dillis reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Community Medical Centers Inc
Same address
Federally Qualified Health Center (FQHC)
1150 S CHEROKEE LANE
Lodi, CA 95240
  • Reassigned Medicare billing, California enrollment
  • 154 clinicians in this Medicare group
NPI 1891529061 (209) 373-2800

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95240 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
$90.32 typical visit price
range $58.87 – $176.60
Typical copayment $22.58 (range $14.71 – $44.15)
Most-billed visit code 99203
Established Patient
$73.16 typical visit price
range $19.28 – $144.60
Typical copayment $18.29 (range $4.82 – $36.15)
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

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

ALEJANDRA RODRIGUEZ PA
Physician Assistant
1150 S CHEROKEE LN
LODI, CA 95240
San Joaquin County (209) 370-1700

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 Mackenzie Dillis's NPI number?

The NPI number for Mackenzie Dillis is 1932740214. It was assigned to this individual provider in the NPPES registry on October 8, 2019.

Where is Mackenzie Dillis located?

Mackenzie Dillis practices at 1150 S Cherokee Ln, Lodi, CA 95240. The listed phone number is (209) 370-1700.

What is Mackenzie Dillis's specialty?

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

Is Mackenzie Dillis enrolled in Medicare?

Yes. Mackenzie Dillis is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Mackenzie Dillis's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mackenzie Dillis reassigns Medicare benefits to Community Medical Centers Inc (Lodi, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Mackenzie Dillis's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Mackenzie Dillis was last updated on September 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 47 days 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.