Individual provider Active NPI

Mackenzie Alexis Bentley, PA

  • Physician Assistant
  • Midland, TX
National Provider Identifier
1831970003
Registry record updated Jul 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
18353 Issued in TX
Practice address
1608 Tarleton St
Midland, TX 79703-5119
Phone
(432) 262-0420
NPI assigned
Oct 12, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 5081 OK
Physician Assistant 363A00000X 18353 TX Primary

Addresses

Primary practice location

1608 Tarleton St
Midland, TX 79703-5119

Mailing address

3306 Whitney Dr
Midland, TX 79705-4847
Phone (281) 839-8952

Other practice location 1

500 W 4th St
Odessa, TX 79761-5001
Phone (432) 640-4000

Other practice location 2

5409 W Wadley Ave
Midland, TX 79707-5073
Phone (432) 699-2601

Other names 1

  • Mackenzie Alexis Allen Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK, TX2 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
I20240221001069 OK Practitioner - Physician Assistant 5698119337 Reassigns benefits to 2 organizations
I20250319001055 TX Practitioner - Physician Assistant 5698119337 Reassigns benefits to 2 organizations

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
Vie by Vicky Bakhos Webb MD PLLCGroup PAC ID 7214383025, 3 clinicians
Basin Emergency Physicians PLLCGroup PAC ID 0244397826, 16 clinicians

Practice addresses (Care Compare)

1608 Tarleton St
Midland, TX 79703-5119
Phone (432) 262-0420

500 W 4TH St
Odessa, TX 79761-5001
Phone (432) 640-4000

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5081OKMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Vie by Vicky Bakhos Webb MD PLLC CurrentSince Feb 1, 2026 Accepting new patients
Discovery Medical Diagnostic Group, LLC PastSince Oct 1, 2023 Accepting new patients

Locations

1608 Tarleton St
Midland, TX 79703
Phone (432) 262-0420

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1697068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785369600000",
    "number": "1831970003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3306 WHITNEY DR",
            "city": "MIDLAND",
            "state": "TX",
            "postal_code": "797054847",
            "telephone_number": "281-839-8952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1608 TARLETON ST",
            "city": "MIDLAND",
            "state": "TX",
            "postal_code": "797035119",
            "telephone_number": "432-262-0420"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "500 W 4th St",
            "address_purpose": "LOCATION",
            "city": "Odessa",
            "state": "TX",
            "postal_code": "797615001",
            "country_code": "US",
            "telephone_number": "432-640-4000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5409 W Wadley Ave",
            "address_purpose": "LOCATION",
            "city": "Midland",
            "state": "TX",
            "postal_code": "797075073",
            "country_code": "US",
            "telephone_number": "432-699-2601",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BENTLEY",
        "first_name": "MACKENZIE",
        "middle_name": "ALEXIS",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-10-12",
        "last_updated": "2026-07-30",
        "certification_date": "2026-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OK",
            "license": "5081",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "18353",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MACKENZIE",
            "last_name": "ALLEN",
            "middle_name": "ALEXIS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Midland, TX

Sources for this page

Verify at the official NPI Registry.