Mackenzie Mae Wahl, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

DR.0072675 Issued in CO

Practice address

14300 Orchard Pkwy
Westminster, CO 80023-9206

Phone

(303) 430-5560

Fax

(303) 430-5565

NPI assigned

Apr 1, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in IN, CO, KS3 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 3

Specialty

Family Practice

Education

University of Kansas School of Med (KC/Wich/Sal), 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Neosho Memorial Regional Medical CenterGroup PAC ID 9133022882, 26 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Neosho Memorial Regional Medical Center Hospital, Chanute, KS, CCN 171380
• Heritage Health Care Center Nursing home, Chanute, KS, CCN 175249

Merit-based Incentive Payment System (MIPS)

Final score

89.06 of 100Reported as group

Quality

89.53

Promoting interoperability

100

Improvement activities

40

Cost

74

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir-myrecord.cerner.com/r4/a9daee2a-e42f-4702-9c42-486fbda403f6/
• Direct secure messaging: mackenzie.wahl.1@18112.direct.athenahealth.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.

• Neosho Memorial Regional Medical Center

  • Critical Access Hospital
  • Chanute, KS
  • NPI 1073566949
  Medicare reassignment Care Compare group NPD
• Indiana University Health Ball Memorial Physicians, Inc.

  • Family Medicine Physician
  • Muncie, IN
  • NPI 1235455544
  Medicare reassignment NPD
• Neosho Memorial Regional Medical Center

  • General Acute Care Hospital
  • Chanute, KS
  • NPI 1053442772
  Medicare reassignment
• Neosho Memorial Regional Medical Center

  • Medical Specialty Clinic/Center
  • Chanute, KS
  • NPI 1023251469
  NPD
• Neosho Memorial Regional Medical Center

  • Rural Health Clinic/Center
  • Chanute, KS
  • NPI 1497121735
  NPD
• Nmrmc Urology Clinic

  • Urology Physician
  • Chanute, KS
  • NPI 1760346316
  NPD
• Catholic Health Iniatives Colorado

  • General Acute Care Hospital
  • Westminster, CO
  • NPI 1619985942
  NPD (past)
• Portercare Adventist Health System

  • General Acute Care Hospital
  • Louisville, CO
  • NPI 1891709192
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Heritage Health Care, LLC

  • Skilled Nursing Facility
  • Chanute, KS
  • NPI 1780682468

  Nursing home

  Care Compare affiliation
• Neosho Memorial Regional Medical Center

  • Medical Specialty Clinic/Center
  • Chanute, KS
  • NPI 1023251469

  Hospital

  Care Compare affiliation
• Neosho Memorial Regional Medical Center

  • Critical Access Hospital
  • Chanute, KS
  • NPI 1073566949
  Care Compare affiliation
• Neosho Memorial Regional Medical Center

  • Orthopaedic Surgery Physician
  • Chanute, KS
  • NPI 1619261211

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1617235200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722643200000",
    "number": "1659959385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14300 ORCHARD PKWY",
            "city": "WESTMINSTER",
            "state": "CO",
            "postal_code": "800239206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14300 ORCHARD PKWY",
            "city": "WESTMINSTER",
            "state": "CO",
            "postal_code": "800239206",
            "telephone_number": "303-430-5560",
            "fax_number": "303-430-5565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAHL",
        "first_name": "MACKENZIE",
        "middle_name": "MAE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-01",
        "last_updated": "2024-08-03",
        "certification_date": "2024-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VX0000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Obstetrics",
            "state": "CO",
            "license": "DR.0072675",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "DR.0072675",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Annika Vorsteveld, RBT
• Wagner Optometry PC
• James Colin Wagner, D.C.
• Loree Ebbinghaus Wagner, O.D.
• Robert Hampton Wagner, O.D.
• Levi Wait, D.C.
• Bonnie Mae Waite, N.P.
• Melanie Patricia Waite, LMT
• Wal-Mart Stores , Inc.
• Wal-Mart Stores, Inc

• Family Medicine Physician in Westminster, CO
• Providers in Westminster, CO by specialty
• Family Medicine Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2024; 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.