Active NPI
Mackenzie Waldran, PA
- Medical Physician Assistant
- Monroeville, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- Practice address
- 2775 Mosside Blvd
Monroeville, PA 15146-2760 - Phone
- (412) 357-3000
- NPI assigned
- Jun 12, 2023
- 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 |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | Primary |
Addresses
Primary practice location
2775 Mosside Blvd
Monroeville, PA 15146-2760
Mailing address
17 Greenwich CT
Oakmont, PA 15139-1170
Phone (989) 798-7821
Other practice location 1
1215 7th St SE Ste 260
Decatur, AL 35601-3399
Phone (256) 973-3630
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL, PA
- 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, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2775 Mosside Blvd
Monroeville, PA 15146-2760
Phone (412) 357-3161
Hospital & facility affiliations
- Upmc East
- Decatur Morgan Hospital - Decatur Campus
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Decatur Neurology, PC | Current | Accepting new patients | |
| University of Pittsburgh Physicians | Current | Accepting new patients | |
| University of Pittsburgh Physicians | Current | Accepting new patients | |
| University of Pittsburgh Physicians | Current | Accepting new patients | |
| Upmc Altoona | Past | Accepting new patients | |
| Upmc Emergency Medicine Inc | Past | Accepting new patients |
Locations
1215 7th St SE
Ste 260
Decatur, AL 35601
Phone (256) 350-4885
2775 Mosside Blvd
Monroeville, PA 15146
Phone (412) 357-3000
400 Oxford Dr
Ste 75
Monroeville, PA 15146
Phone (412) 380-5025
300 Halket St
Ste 5200
Pittsburgh, PA 15213
Phone (412) 641-7850
Interoperability endpoints
- mackenzie.waldran@upmcdirect.com
Organizations & group practices 7
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.
-
- Gastroenterology Physician
- Pittsburgh, PA
- NPI 1619935004
-
- Neurology Physician
- Decatur, AL
- NPI 1144691908
-
- Diagnostic Radiology Physician
- Pittsburgh, PA
- NPI 1285692699
-
- Surgery Physician
- Pittsburgh, PA
- NPI 1306804729
-
- Neurology Physician
- Decatur, AL
- NPI 1457377913
-
- General Acute Care Hospital
- Altoona, PA
- NPI 1649278730
-
- Emergency Medicine Physician
- Pittsburgh, PA
- NPI 1891744041
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Monroeville, PA
- NPI 1225323983
-
- General Acute Care Hospital
- Decatur, AL
- NPI 1356692297
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1686528000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1753920000000",
"number": "1689358780",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17 GREENWICH CT",
"city": "OAKMONT",
"state": "PA",
"postal_code": "151391170",
"telephone_number": "989-798-7821"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2775 MOSSIDE BLVD",
"city": "MONROEVILLE",
"state": "PA",
"postal_code": "151462760",
"telephone_number": "412-357-3000"
}
],
"practiceLocations": [
{
"address_1": "1215 7th St SE Ste 260",
"address_purpose": "LOCATION",
"city": "Decatur",
"state": "AL",
"postal_code": "356013399",
"country_code": "US",
"telephone_number": "256-973-3630",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WALDRAN",
"first_name": "MACKENZIE",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-06-12",
"last_updated": "2025-07-31",
"certification_date": "2025-07-31",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Monroeville, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 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.