Active NPI
McKenzie Madill, PA-C
- Physician Assistant
- Fort Smith, AR
National Provider Identifier
1508477563
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA-1306
- Practice address
- 6801 Phoenix Ave Ste 1
Fort Smith, AR 72903-5299 - Phone
- (479) 384-5378
- NPI assigned
- Aug 13, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA-1306 | AR | Primary |
Addresses
Primary practice location
6801 Phoenix Ave Ste 1
Fort Smith, AR 72903-5299
Mailing address
6801 Phoenix Ave Ste 1
Fort Smith, AR 72903-5299
Phone (479) 384-5378
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX, AR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2012 S Promenade Blvd
Rogers, AR 72758-9073
Phone (479) 616-1485
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Texas Health Physicians Group | Current | Accepting new patients | |
| Texas Health Physicians Group | Current | Accepting new patients | |
| Stella Mattina Primary Care Inc | Past | Accepting new patients | |
| Mercy Health Northwest Arkansas Communities | Past | Accepting new patients |
Locations
2730 SW Wilshire Blvd
Burleson, TX 76028
Phone (817) 916-5180
4333 N Josey Ln
Ste 104
Carrollton, TX 75010
Phone (972) 394-4500
Organizations & group practices 6
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.
-
- Urgent Care Clinic/Center
- Springdale, AR
- NPI 1366922320
-
- Internal Medicine Physician
- Fort Worth, TX
- NPI 1174573596
-
- Sleep Disorder Diagnostic Clinic/Center
- Dallas, TX
- NPI 1174992051
-
- Internal Medicine Physician
- Kaufman, TX
- NPI 1992151740
-
- Multi-Specialty Clinic/Center
- Rogers, AR
- NPI 1265490916
-
- Family Medicine Physician
- Dallas, TX
- NPI 1396568713
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1597276800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1508477563",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6801 PHOENIX AVE STE 1",
"city": "FORT SMITH",
"state": "AR",
"postal_code": "729035299",
"telephone_number": "479-384-5378"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6801 PHOENIX AVE STE 1",
"city": "FORT SMITH",
"state": "AR",
"postal_code": "729035299",
"telephone_number": "479-384-5378"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MADILL",
"first_name": "MCKENZIE",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-08-13",
"last_updated": "2025-09-11",
"certification_date": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "AR",
"license": "PA-1306",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Smith, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 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.