Individual provider Active NPI

Mackenzie Pierce

  • Physician Assistant
  • Austin, TX
National Provider Identifier
1922726314
Registry record updated Nov 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA18359 Issued in TX
Practice address
4101 James Casey St Ste 100
Austin, TX 78745-1145
Phone
(512) 447-2202
Fax
(512) 447-5337
NPI assigned
Aug 22, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Physician Assistant 363A00000X PA18359 TX Primary

Addresses

Primary practice location

4101 James Casey St Ste 100
Austin, TX 78745-1145

Mailing address

PO Box 911230
Dallas, TX 75391-1230
Phone (972) 997-8000

Other practice location 1

3600 N Garfield St
Midland, TX 79705-6329
Phone (432) 620-1120

Other practice location 2

2300 Lohmans Spur Rd Ste 104
Lakeway, TX 78734-6241
Phone (512) 373-3169

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20241109000524 TX Practitioner - Physician Assistant 9931633278 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Texas Oncology PAGroup PAC ID 5395658934, 1,001 clinicians

Practice addresses (Care Compare)

12221 Renfert Way
Suite 300
Austin, TX 78758-5453
Phone (512) 873-8900

2300 Lohmans Spur
Suite 104
Lakeway, TX 78734-6241
Phone (512) 373-3169

4101 James Casey St
Austin, TX 78745-1145

901 W 38TH St
Suite 200
Austin, TX 78705-1165
Phone (512) 421-4100

PO Box
Suite 911242
Dallas, TX 75391-1242

Hospital & facility affiliations

  • Baylor Scott & White Institute for Rehabilitation Inpatient rehabilitation facility, Lakeway, TX, CCN 673058

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Oncology PA Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: mackenzie.pierce@txo.ikm.direct-ci.com

Organizations & group practices 1

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 1

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": "1661126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731283200000",
    "number": "1922726314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 911230",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753911230",
            "telephone_number": "972-997-8000",
            "fax_number": "972-234-0813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4101 JAMES CASEY ST STE 100",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787451145",
            "telephone_number": "512-447-2202",
            "fax_number": "512-447-5337"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3600 N Garfield St",
            "address_purpose": "LOCATION",
            "city": "Midland",
            "state": "TX",
            "postal_code": "797056329",
            "country_code": "US",
            "telephone_number": "432-620-1120",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2300 Lohmans Spur Rd Ste 104",
            "address_purpose": "LOCATION",
            "city": "Lakeway",
            "state": "TX",
            "postal_code": "787346241",
            "country_code": "US",
            "telephone_number": "512-373-3169",
            "fax_number": "512-373-3790",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PIERCE",
        "first_name": "MACKENZIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-22",
        "last_updated": "2024-11-11",
        "certification_date": "2024-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA18359",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.