MCKENZIE HACKMASTER DO
NPI 1952090474
Student in an Organized Health Care Education/Training Program in Tyler, TX

Active since May 01, 2023PECOS Enrolled
11937 US HIGHWAY 271, TYLER, TX 75708(903) 877-7200 Get Directions Write a Review

NPPES record last updated: May 2, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mckenzie Hackmaster Do NPPES

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

MCKENZIE HACKMASTER DO (NPI 1952090474) is an individual student in an organized health care education/training program in Tyler, Texas, licensed in Texas (BP10085230) and active in the NPI registry since May 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1952090474
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameMCKENZIE HACKMASTERCredential: DO
Location Address11937 US HIGHWAY 271Tyler, TX 75708-3154
Mailing Address11937 Us Highway 271Tyler, TX 75708-3154 · (903) 877-7200
Sole ProprietorNo
Enumeration DateMay 1, 2023
Last NPPES UpdateMay 2, 2023
NPPES CertifiedMay 2, 2023
NPI 1952090474 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
License Licensed in TX · BP10085230
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
11937 US HIGHWAY 271, Tyler, TX 75708

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Mckenzie Hackmaster Do 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.

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.

Psychiatric Unit
11937 US HIGHWAY 271
TYLER, TX 75708
Surgery (Trauma Surgery)
11937 US HIGHWAY 271
TYLER, TX 75708
Pharmacist
11937 US HIGHWAY 271
TYLER, TX 75708
Student in an Organized Health Care Education/Training Program
11937 US HIGHWAY 271
TYLER, TX 75708
Student in an Organized Health Care Education/Training Program
11937 US HIGHWAY 271
TYLER, TX 75708
Student in an Organized Health Care Education/Training Program
11937 US HIGHWAY 271
TYLER, TX 75708
Nurse Practitioner (Primary Care)
11937 US HIGHWAY 271
TYLER, TX 75708
Hospitalist
11937 US HIGHWAY 271
TYLER, TX 75708

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 Mckenzie Hackmaster's NPI number?

The NPI number for Mckenzie Hackmaster is 1952090474. It was assigned to this individual provider in the NPPES registry on May 1, 2023.

Where is Mckenzie Hackmaster located?

Mckenzie Hackmaster practices at 11937 Us Highway 271, Tyler, TX 75708. The listed phone number is (903) 877-7200.

What is Mckenzie Hackmaster's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Mckenzie Hackmaster enrolled in Medicare?

Yes. Mckenzie Hackmaster is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Mckenzie Hackmaster was last updated on May 2, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.