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MACKENZIE SHIANN HEATON PA-C
NPI 1962238691
Physician Assistant in Johnson City, TN

Active since September 10, 2024PECOS Enrolled
2410 SUSANNAH ST, JOHNSON CITY, TN 37601(423) 282-9011 Get Directions Write a Review

NPPES record last updated: April 14, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 14, 2026, Sep 10, 2024 (2 updates tracked since 2024).

About Mackenzie Shiann Heaton Pa-c NPPES

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

MACKENZIE SHIANN HEATON PA-C (NPI 1962238691) is an individual physician assistant in Johnson City, Tennessee and active in the NPI registry since September 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1962238691
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMACKENZIE SHIANN HEATONCredential: PA-C
Location Address2410 SUSANNAH STJohnson City, TN 37601-1748
Mailing Address2410 Susannah StJohnson City, TN 37601-1748 · (423) 282-9011
Phone(423) 282-9011
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateSeptember 10, 2024
Last NPPES UpdateApril 14, 20262 updates tracked since enumeration
NPPES CertifiedApril 14, 2026
✔ NPI 1962238691 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
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.
2410 SUSANNAH ST, Johnson City, TN 37601
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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 Shiann Heaton Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3476038332
PECOS Enrollment IDI20260327004049
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 37601 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
$81.53 typical visit price
range $52.64 – $160.89
Typical copayment $20.38 (range $13.16 – $40.22)
Most-billed visit code 99203
Established Patient
$66.01 typical visit price
range $16.72 – $131.41
Typical copayment $16.50 (range $4.18 – $32.85)
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.

RICHARD W DUNCAN MD
Orthopaedic Surgery (Orthopaedic Surgery of the Spine)
2410 SUSANNAH ST
JOHNSON CITY, TN 37601
Washington County (423) 282-9011
MIKAYLA L. BOGULSKI
Physician Assistant
2410 SUSANNAH ST
JOHNSON CITY, TN 37601
Washington County (423) 282-9011
JORDAN FRAZIER SHELBURNE FNP
Nurse Practitioner (Family)
2410 SUSANNAH ST
JOHNSON CITY, TN 37601
Washington County (423) 282-9011
MICHELLE W LAMB PT
Physical Therapist
2410 SUSANNAH ST
JOHNSON CITY, TN 37601
Washington County (423) 282-9011
GREG L CROSS PT
Physical Therapist
2410 SUSANNAH ST
JOHNSON CITY, TN 37601
Washington County (423) 282-9011
MR. EVERETT VINCENT BAKER NURSE PRACTITIONER
Nurse Practitioner (Family)
2410 SUSANNAH ST
JOHNSON CITY, TN 37601
Washington County (423) 282-9011
MRS. ANDRIA MARIE ONISHI P.T.
Physical Therapist
2410 SUSANNAH ST
JOHNSON CITY, TN 37601
Washington County (423) 282-9011
WATAUGA ORTHOPAEDICS PLC
Orthopaedic Surgery
2410 SUSANNAH ST
JOHNSON CITY, TN 37601
Washington County (423) 282-9011

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 Heaton's NPI number?

The NPI number for Mackenzie Heaton is 1962238691. It was assigned to this individual provider in the NPPES registry on September 10, 2024.

Where is Mackenzie Heaton located?

Mackenzie Heaton practices at 2410 Susannah St, Johnson City, TN 37601. The listed phone number is (423) 282-9011.

What is Mackenzie Heaton's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Mackenzie Heaton enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Mackenzie Heaton was last updated on April 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.