Makenzie Brynn Duncan
Individual provider Active NPI Physician Assistant · La Salle, MI
NPI 1952921272 · NPPES record last updated Sep 16, 2022
Key facts
- NPI
- 1952921272
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- 10003146A (IN)
- Practice address
- 3018 Yargerville Rd
La Salle, MI 48145-9792 - Phone
- (419) 350-9678
- NPI assigned
- Apr 17, 2020
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 4
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Riverview Hospital
Practice addresses (Care Compare)
10830 N Michigan Rd
Riverview Health Emergency Room and Urgent Ca
Zionsville, IN 46077-8167
Phone (317) 764-5050
395 Westerfield Rd
Noblesville, IN 46060-1425
395 Westfield Dr
Noblesville, IN 46060-1425
395 Westfield FR
RM 2419
Noblesville, IN 46060-1425
Phone (317) 776-7157
395 Westfield Rd B
OB/GYN Specialists of Indiana
Noblesville, IN 46060-1425
Phone (317) 776-9440
395 Westfield Rd D
Noblesville Diabetic and Endocrinolog
Noblesville, IN 46060-1425
Phone (317) 776-3520
395 Westfield Rd RM
Noblesville, IN 46060-1425
9690 E 116TH St
Riverview Health Freestanding Emergency Urg
Fishers, IN 46037-2838
Phone (317) 773-0760
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.78 of 100
- Quality
- 80.38
- Promoting interoperability
- 100
- Improvement activities
- 40
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220404001730 | IN | Practitioner - Physician Assistant | 7113313917 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cep America LLC | Multi-Specialty | Current |
Accepting new patients |
| Cep America LLC | Multi-Specialty | Current |
Accepting new patients |
| Riverview Hospital | Multi-Specialty | Current |
Accepting new patients |
Locations
1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423
1373 N State Road 62
Madison, IN 47250
Phone (812) 801-0196
395 Westfield Rd
Noblesville, IN 46060
Phone (317) 218-3136
1606 N 7th St
Terre Haute, IN 47804
Phone (812) 238-7523
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant |
363AM0700X | 10003146A | IN | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Physician Assistant | 363A00000X | 10003146A | IN | Yes |
Addresses
Primary practice location
3018 Yargerville Rd
La Salle, MI 48145-9792
Mailing address
462 E 10TH St
Indianapolis, IN 46202-4600
Phone (419) 350-9678
Other providers in La Salle, MI
All providers in La Salle, MI · Physician Assistant in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 16, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.