Mackenzie Elizabeth Larsen, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

6305-12 Issued in WI

Practice address

1250 Prairie Creek Blvd Unit 201
Oconomowoc, WI 53066-8687

Phone

(920) 284-0618

NPI assigned

Jun 16, 2025

Last updated

Jun 16, 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

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Art of Wellness Chiropractic SC

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  • Brown Deer, WI
  • NPI 1336292499
  Medicare reassignment NPD
• PT Plus Management Corp

  • Physical Therapist
  • Mount Pleasant, WI
  • NPI 1477798338
  NPD
• Wild Willow Natural Medicine LLC

  • Sports Physician Chiropractor
  • Hartford, WI
  • NPI 1821636929
  NPD

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

{
    "created_epoch": "1750032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750032000000",
    "number": "1649166760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1250 PRAIRIE CREEK BLVD UNIT 201",
            "city": "OCONOMOWOC",
            "state": "WI",
            "postal_code": "530668687",
            "telephone_number": "920-284-0618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1250 PRAIRIE CREEK BLVD UNIT 201",
            "city": "OCONOMOWOC",
            "state": "WI",
            "postal_code": "530668687",
            "telephone_number": "920-284-0618"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LARSEN",
        "first_name": "MACKENZIE",
        "middle_name": "ELIZABETH",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-06-16",
        "last_updated": "2025-06-16",
        "certification_date": "2025-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "6305-12",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lake Country Pharmacy
• Lake Country Private Medical, S.C.
• Peter Mathew Lake, MD
• Lakeland Family Dental, LLC
• Jody Alice Langford, M.D.
• Barbara Ann Larson, PT
• Kaitlyn E Laundre
• James S Leaman, DDS
• Sharon Legwinski, OTR
• Allison Marie Lehman, DDS

• Chiropractor in Oconomowoc, WI
• Providers in Oconomowoc, WI by specialty
• Chiropractor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.