Individual provider Active NPI

Mackenzie A. Neal, PA-C

  • Physician Assistant
  • Littleton, CO
National Provider Identifier
1801203955
Registry record updated Oct 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0006909 Issued in CO
Practice address
9895 W Remington PL
Littleton, CO 80128-6734
Phone
(303) 948-2676
Fax
(303) 904-9151
NPI assigned
Jul 21, 2014
Last updated
Oct 23, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 23, 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 0006909 CO Primary

Addresses

Primary practice location

9895 W Remington PL
Littleton, CO 80128-6734

Mailing address

9895 W Remington PL
Littleton, CO 80128-6734
Phone (303) 948-2676

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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
I20260427003299 CO Order and Referring Only - Physician Assistant 5496973661

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
017817NYMDAdult Development & Aging Psychologist
0006909COMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Pinon Family Practice LLP CurrentSince Oct 27, 2024 Accepting new patients
Nutrition Center of Colorado, LLC PastSince Oct 27, 2024 Accepting new patients

Locations

9895 W Remington Pl
Littleton, CO 80128
Phone (303) 948-2676

Interoperability endpoints

  • Direct secure messaging: mackenzieneal@pfp.ssdirect.aprima.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1405900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729641600000",
    "number": "1801203955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9895 W REMINGTON PL",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801286734",
            "telephone_number": "303-948-2676",
            "fax_number": "303-904-9151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9895 W REMINGTON PL",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801286734",
            "telephone_number": "303-948-2676",
            "fax_number": "303-904-9151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEAL",
        "first_name": "MACKENZIE",
        "middle_name": "A.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-21",
        "last_updated": "2024-10-23",
        "certification_date": "2024-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CO",
            "license": "0006909",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Littleton, CO

Sources for this page

Verify at the official NPI Registry.