Individual provider Active NPI

Mackenzie Ebersole

  • Medical Physician Assistant
  • Sewickley, PA
National Provider Identifier
1932916764
Registry record updated Oct 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
MA066200 Issued in PA
Practice address
301 Ohio River Blvd Ste 202
Sewickley, PA 15143-1300
Phone
(412) 741-2122
NPI assigned
Dec 16, 2024
Last updated
Oct 2, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 2, 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 MA066200 PA Primary

Addresses

Primary practice location

301 Ohio River Blvd Ste 202
Sewickley, PA 15143-1300

Mailing address

301 Ohio River Blvd Ste 202
Sewickley, PA 15143-1300

Other practice location 1

337 State Ave
Vanport, PA 15009-1634
Phone (412) 775-6602

Other practice location 2

300 Northpointe Cir Ste 102
Seven Fields, PA 16046-7862
Phone (412) 302-5301

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20250220002563 PA Practitioner - Physician Assistant 0840710844 Reassigns benefits to 2 organizations

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
University of Pittsburgh PhysiciansGroup PAC ID 8729990239, 4,166 clinicians
ENT and Allergy Specialists of Western PA PCGroup PAC ID 4183663602, 9 clinicians

Practice addresses (Care Compare)

1400 Locust St
Pittsburgh, PA 15219-5114
Phone (412) 647-2200

200 Lothrop St
Pittsburgh, PA 15213-2546
Phone (412) 383-1370

301 Ohio River Blvd
Suite 202
Sewickley, PA 15143-1300
Phone (412) 741-2122

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
University of Pittsburgh Physicians CurrentSince Feb 24, 2025 Accepting new patients
Associated Hearing Aid Services,LP CurrentSince Sep 29, 2025 Accepting new patients
ENT & Allergy Specialists of Western PA, P.C. CurrentSince Sep 29, 2025 Accepting new patients
University of Pittsburgh Physicians CurrentSince Feb 24, 2025 Accepting new patients

Locations

200 Lothrop St
Ste B400
Pittsburgh, PA 15213
Phone (412) 647-3685

300 Northpointe Cir
Ste 102
Seven Fields, PA 16046
Phone (412) 580-8300

301 Ohio River Blvd
Ste 202
Sewickley, PA 15143
Phone (412) 741-2122

337 State Ave
Vanport, PA 15009
Phone (412) 741-2221

Interoperability endpoints

  • Direct secure messaging: mzeisler@bforent.medentdirect.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1734307200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759363200000",
    "number": "1932916764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 OHIO RIVER BLVD STE 202",
            "city": "SEWICKLEY",
            "state": "PA",
            "postal_code": "151431300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 OHIO RIVER BLVD STE 202",
            "city": "SEWICKLEY",
            "state": "PA",
            "postal_code": "151431300",
            "telephone_number": "412-741-2122"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "337 State Ave",
            "address_purpose": "LOCATION",
            "city": "Vanport",
            "state": "PA",
            "postal_code": "150091634",
            "country_code": "US",
            "telephone_number": "412-775-6602",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "300 Northpointe Cir Ste 102",
            "address_purpose": "LOCATION",
            "city": "Seven Fields",
            "state": "PA",
            "postal_code": "160467862",
            "country_code": "US",
            "telephone_number": "412-302-5301",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EBERSOLE",
        "first_name": "MACKENZIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-12-16",
        "last_updated": "2025-10-02",
        "certification_date": "2025-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PA",
            "license": "MA066200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sewickley, PA

Sources for this page

Verify at the official NPI Registry.