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MACKINZIE LEE NP
NPI 1982292926
Nurse Practitioner - Family in Jackson, MS

Active since January 05, 2021PECOS Enrolled
1700 UNIVERSITY BLVD STE 8, JACKSON, MS 39204(601) 502-4245 Get Directions Write a Review

NPPES record last updated: March 7, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 7, 2022, Mar 14, 2021, Jan 5, 2021 (3 updates tracked since 2021).

About Mackinzie Lee Np NPPES

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

MACKINZIE LEE NP (NPI 1982292926) is an individual family provider in Jackson, Mississippi, licensed in Mississippi (904736) and active in the NPI registry since January 2021. She is enrolled in Medicare PECOS and maintains a secondary practice location in Raymond.

NPPES Registry Identity

NPI1982292926
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMACKINZIE LEECredential: NP
Location Address1700 UNIVERSITY BLVD STE 8Jackson, MS 39204-3907
Mailing Address4985 Springridge RdRaymond, MS 39154-9492
Phone(601) 502-4245
Sole ProprietorYes
Enumeration DateJanuary 5, 2021
Last NPPES UpdateMarch 7, 20223 updates tracked since enumeration
NPPES CertifiedMarch 7, 2022
✔ NPI 1982292926 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in MS · 904736
Also ListedRegistered NurseTaxonomy 163W00000X · License 886202 (MS)
1700 UNIVERSITY BLVD STE 8, Jackson, MS 39204
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Secondary Practice Location 1

Location 14985 Springridge RdRaymond, MS 39154-9492 · Phone (601) 502-4245

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mackinzie Lee Np 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 39204 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
$80.50 typical visit price
range $51.65 – $159.18
Typical copayment $20.12 (range $12.91 – $39.79)
Most-billed visit code 99203
Established Patient
$92.20 typical visit price
range $16.15 – $129.61
Typical copayment $23.05 (range $4.03 – $32.40)
Most-billed visit code 99214
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 3

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

QUALITY HEALTHCARE MANAGEMENT, LLC
General Practice
1700 UNIVERSITY BLVD STE 8
JACKSON, MS 39204
Hinds County (662) 836-8296
OPTIMAL HEALTH AND WELLNESS CLINIC, PLLC
Clinic/Center
1700 UNIVERSITY BLVD STE 8
JACKSON, MS 39204
Hinds County (601) 502-4245
ELITE CASE MANAGEMENT AGENCY LLC
General Practice
1700 UNIVERSITY BLVD STE 8
JACKSON, MS 39204
Hinds County (601) 863-0258

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 Mackinzie Lee's NPI number?

The NPI number for Mackinzie Lee is 1982292926. It was assigned to this individual provider in the NPPES registry on January 5, 2021.

Where is Mackinzie Lee located?

Mackinzie Lee practices at 1700 University Blvd Ste 8, Jackson, MS 39204. The listed phone number is (601) 502-4245.

What is Mackinzie Lee's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Mackinzie Lee enrolled in Medicare?

Yes. Mackinzie Lee is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Mackinzie Lee was last updated on March 7, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.