Individual provider Active NPI

Mackenzie Waldran, PA

  • Medical Physician Assistant
  • Monroeville, PA
National Provider Identifier
1689358780
Registry record updated Jul 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
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

Updated by the provider on Jul 31, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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, PA2 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
I20240503002667 AL Practitioner - Physician Assistant 9931549151 Reassigns benefits to 1 organization
I20251016000075 PA Practitioner - Physician Assistant 9931549151 Reassigns benefits to 1 organization

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
University of Pittsburgh PhysiciansGroup PAC ID 8729990239, 4,166 clinicians

Practice addresses (Care Compare)

2775 Mosside Blvd
Monroeville, PA 15146-2760
Phone (412) 357-3161

Hospital & facility affiliations

  • Upmc East Hospital, Monroeville, PA, CCN 390328
  • Decatur Morgan Hospital - Decatur Campus Hospital, Decatur, AL, CCN 010085

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Decatur Neurology, PC CurrentSince Feb 1, 2025 Accepting new patients
University of Pittsburgh Physicians CurrentSince Aug 4, 2025 Accepting new patients
University of Pittsburgh Physicians Current Accepting new patients
University of Pittsburgh Physicians CurrentSince Aug 4, 2025 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 2

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

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

Verify at the official NPI Registry.