Individual provider Active NPI

Brittany Ann Mackie, P.A.

  • Physician Assistant
  • Gilbert, AZ
National Provider Identifier
1619487394
Registry record updated Jan 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
1688 E Boston St Ste 121-124
Gilbert, AZ 85295-6221
Phone
(480) 855-0085
Fax
(480) 855-0086
NPI assigned
Oct 6, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 55003 CA
Physician Assistant 363A00000X AZ Primary

Addresses

Primary practice location

1688 E Boston St Ste 121-124
Gilbert, AZ 85295-6221

Mailing address

1688 E Boston St Ste 101
Gilbert, AZ 85295-6222
Phone (480) 855-0085

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, AZ2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20230810003656 TX Practitioner - Physician Assistant 2163782996 Reassigns benefits to 1 organization
I20230816003360 AZ Practitioner - Physician Assistant 2163782996 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
At Still Un of HLTH Sciences, Col of Osteo Med, Mesa, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Desert Sky Dermatology PLLCGroup PAC ID 3971753054, 13 clinicians

Practice addresses (Care Compare)

1688 E Boston St
Suite 101
Gilbert, AZ 85295-6222
Phone (480) 855-0085

7205 E Baseline Rd
Mesa, AZ 85209-4905
Phone (480) 855-0085

Merit-based Incentive Payment System (MIPS)

Final score
92.32 of 100Reported as group
Quality
99.63
Improvement activities
40
Cost
74.89

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Southwest Skin Laboratory PLLC CurrentSince Mar 12, 2024 Accepting new patients
Ton Sells Hospital CurrentSince Jun 27, 2023 Accepting new patients
Ton Sells Hospital Past Accepting new patients

Locations

1688 E Boston St
Ste 101
Gilbert, AZ 85295
Phone (480) 855-0085

7900 S J Stock Rd
Tucson, AZ 85746
Phone (520) 295-2550

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1507248000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736985600000",
    "number": "1619487394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1688 E BOSTON ST STE 101",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852956222",
            "telephone_number": "480-855-0085",
            "fax_number": "480-855-0086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1688 E BOSTON ST STE 121-124",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852956221",
            "telephone_number": "480-855-0085",
            "fax_number": "480-855-0086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACKIE",
        "first_name": "BRITTANY",
        "middle_name": "ANN",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-06",
        "last_updated": "2025-01-16",
        "certification_date": "2025-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "55003",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AZ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gilbert, AZ

Sources for this page

Verify at the official NPI Registry.