MACKENZIE THOMPSON
NPI 1972210995
Physician Assistant in Olney, IL

Active since October 31, 2022PECOS EnrolledAccepts Medicare Assignment
363 N WEST ST, OLNEY, IL 62450(618) 392-9400 Get Directions Write a Review

NPPES record last updated: October 31, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Mackenzie Thompson NPPES

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

MACKENZIE THOMPSON (NPI 1972210995) is an individual physician assistant in Olney, Illinois, licensed in Illinois (085.009328) and active in the NPI registry since October 2022. She is enrolled in Medicare PECOS, is affiliated with St Anthonys Memorial Hospital, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1972210995
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMACKENZIE THOMPSON
Location Address363 N WEST STOlney, IL 62450-1160
Mailing Address730 N Boone StOlney, IL 62450-2054 · (231) 233-4690
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateOctober 31, 2022
NPPES CertifiedOctober 31, 2022
NPI 1972210995 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 IL · 085.009328
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.

363 N WEST ST, Olney, IL 62450

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

Mackenzie Thompson 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 ID5799153987
PECOS Enrollment IDI20221118001822
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.

Hospital Affiliations CMS Care Compare

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

St Anthonys Memorial Hospital

Acute Care Hospitals · Effingham, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140032
Location503 N Maple StreetEffingham, IL 62401 · Effingham County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62450 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
$85.71 typical visit price
range $54.80 – $168.44
Typical copayment $21.42 (range $13.70 – $42.11)
Most-billed visit code 99203
Established Patient
$68.64 typical visit price
range $17.16 – $136.56
Typical copayment $17.16 (range $4.29 – $34.14)
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 6

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

Nurse Practitioner (Psychiatric/Mental Health)
363 N WEST ST
OLNEY, IL 62450
Pediatrics
363 N WEST ST
OLNEY, IL 62450
Registered Nurse (Ambulatory Care)
363 N WEST ST
OLNEY, IL 62450
Nurse Practitioner (Family)
363 N WEST ST
OLNEY, IL 62450
Nurse Practitioner
363 N WEST ST
OLNEY, IL 62450
Nurse Practitioner (Family)
363 N WEST ST
OLNEY, IL 62450

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1972210995, enumerated as an "individual" on October 31, 2022.

The provider is located at 363 N WEST ST OLNEY, IL 62450 and the phone number is (618) 392-9400.

Physician Assistant with taxonomy code 363A00000X.

Mackenzie Thompson is affiliated with: ST ANTHONYS MEMORIAL HOSPITAL.