Individual provider Active NPI

Mackenzie Acus Starns, PA-C

  • Physician Assistant
  • Marion, OH
National Provider Identifier
1699168443
Registry record updated Nov 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
C05737 Issued in MD
Practice address
1138 Independence Ave
Marion, OH 43302-6318
Phone
(740) 383-7953
Fax
(740) 375-8114
NPI assigned
Mar 17, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 7, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X C05737 MD Primary

Addresses

Primary practice location

1138 Independence Ave
Marion, OH 43302-6318

Mailing address

PO Box 7527
Dublin, OH 43017-0727
Phone (740) 383-7953

Other practice location 1

2422 Lake Ave
Ashtabula, OH 44004
Phone (440) 997-6910

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mwerner423210@direct.ccf.org Marion Area Physicians LLC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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 1

Enrollment IDStateProvider typePAC IDDetails
I20170217000654 OH Practitioner - Physician Assistant 6305157934 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Marion Area Physicians LLCGroup PAC ID 1850549437, 179 clinicians

Practice addresses (Care Compare)

1040 Delaware Ave
Marion, OH 43302-6416
Phone (740) 383-7936

1050 Delaware Ave
Marion, OH 43302-6416
Phone (740) 383-7936

1130 Independence Ave
Marion, OH 43302-6318
Phone (740) 383-8591

1138 Independence Ave
Marion, OH 43302-6318
Phone (740) 383-7953

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ashtabula County Medical Center CurrentSince Jan 1, 2017 Accepting new patients
Euclid Hospital Cleveland Clinic Health System Current Accepting new patients

Locations

2420 Lake Ave
Ashtabula, OH 44004
Phone (216) 986-2919

2422 Lake Ave
Ashtabula, OH 44004
Phone (440) 992-4422

Organizations & group practices 3

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 3

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": "1426550400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730937600000",
    "number": "1699168443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7527",
            "city": "DUBLIN",
            "state": "OH",
            "postal_code": "430170727",
            "telephone_number": "740-383-7953",
            "fax_number": "740-375-8114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1138 INDEPENDENCE AVE",
            "city": "MARION",
            "state": "OH",
            "postal_code": "433026318",
            "telephone_number": "740-383-7953",
            "fax_number": "740-375-8114"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2422 Lake Ave",
            "address_purpose": "LOCATION",
            "city": "Ashtabula",
            "state": "OH",
            "postal_code": "44004",
            "country_code": "US",
            "telephone_number": "440-997-6910",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STARNS",
        "first_name": "MACKENZIE",
        "middle_name": "ACUS",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-03-17",
        "last_updated": "2024-11-07",
        "certification_date": "2024-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MD",
            "license": "C05737",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mwerner423210@direct.ccf.org",
            "affiliation": "Y",
            "affiliationName": "Marion Area Physicians LLC",
            "address_1": "1138 Independence Ave",
            "city": "Marion",
            "state": "OH",
            "country_code": "US",
            "postal_code": "433026318",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Marion, OH

Sources for this page

Verify at the official NPI Registry.