Madison Lorraine Mackenzie

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

2790 Health Pkwy
Mt Pleasant, MI 48858-6934

Phone

(989) 953-5320

NPI assigned

Dec 13, 2020

Last updated

Jan 2, 2025By the provider in NPPES

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

Other names 1

• Madison Lorraine McConnon Former name

Medicare fee-for-service enrollment

Enrolled in MI

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

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: madison.mcconnon.p1@direct.isabellahealth.nextgenshare.com

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

• Isabella Citizens for Health, Inc.

  • Federally Qualified Health Center (FQHC)
  • Mt Pleasant, MI
  • NPI 1104177195
  Medicare reassignment NPD (past)
• Isabella Citizens for Health Inc

  dba Farwell Health Center of Isabella Citizens for Health Inc

  • Federally Qualified Health Center (FQHC)
  • Farwell, MI
  • NPI 1548090491
  NPD
• Isabella Citizens for Health Inc

  dba Health Park Pharmacy

  • Community/Retail Pharmacy
  • Mt Pleasant, MI
  • NPI 1942842471
  NPD

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

{
    "created_epoch": "1607817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735776000000",
    "number": "1457947574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2790 HEALTH PKWY",
            "city": "MOUNT PLEASANT",
            "state": "MI",
            "postal_code": "488586934",
            "telephone_number": "989-953-5320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2790 HEALTH PKWY",
            "city": "MT PLEASANT",
            "state": "MI",
            "postal_code": "488586934",
            "telephone_number": "989-953-5320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACKENZIE",
        "first_name": "MADISON",
        "middle_name": "LORRAINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-13",
        "last_updated": "2025-01-02",
        "certification_date": "2025-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MADISON",
            "last_name": "MCCONNON",
            "middle_name": "LORRAINE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Paige H Lynch
• Isabel Lyshol
• M & R Orthop PLLC
• David Frank Maceroni, DDS
• Cindy Mae Mackenzie, BSW, LBSW, QMHP
• John Mackovjak, M.D.
• Marsha Ann Macniell, LMSW,CSW
• Jessica L Maczynski
• Mandy Madagame
• Madison Chapman PHD LP LLC (Pleasant Psychology)

• Physician Assistant in Mt Pleasant, MI
• Providers in Mt Pleasant, MI by specialty
• Physician Assistant in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.