Mackenzie Shea Oliver

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA.0008332 Issued in CO

Practice address

11990 Grant St Ste 400
Northglenn, CO 80233-1136

Phone

(720) 773-2464

Fax

(720) 817-8477

NPI assigned

Jul 14, 2022

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CO

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mountain View Pain SpecialistsGroup PAC ID 7911255013, 53 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/8078/brand/1/csg/1/fhir/r4
• Direct secure messaging: mackenzie.oliver@3675.securemail.prognocis.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Mountain View Pain Specialists

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Lone Tree, CO
  • NPI 1912403544
  Medicare reassignment Care Compare group NPD
• Spine West a Professional LLC

  • Physical Medicine & Rehabilitation Physician
  • Boulder, CO
  • NPI 1427091206
  Medicare reassignment
• Rocky Vista Health Center LLC

  • Family Medicine Physician
  • Englewood, CO
  • NPI 1366606709
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1657756800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752019200000",
    "number": "1093449969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5445 DTC PKWY STE 1130",
            "city": "GREENWOOD VILLAGE",
            "state": "CO",
            "postal_code": "801113038",
            "telephone_number": "720-749-5599",
            "fax_number": "720-925-5897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11990 GRANT ST STE 400",
            "city": "NORTHGLENN",
            "state": "CO",
            "postal_code": "802331136",
            "telephone_number": "720-773-2464",
            "fax_number": "720-817-8477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLIVER",
        "first_name": "MACKENZIE",
        "middle_name": "SHEA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-14",
        "last_updated": "2025-07-09",
        "certification_date": "2025-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CO",
            "license": "PA.0008332",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shelby Oehlert
• Jimmie N. Ogden, D.C., C.C.E.P.
• Elissa May Okeson, ACNPC-AG
• Delaney Olinger, MOT, OTR
• Loren Olivas
• Nicole Olivieri
• Hailey Olson
• Olivia Onofrio
• Open Door Mental Wellness
• Optimal Eyecare, P.C.

• Physician Assistant in Northglenn, CO
• Providers in Northglenn, CO by specialty
• Physician Assistant in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.