Individual provider Active NPI

Mackenzie Ann Warner, PA-C

  • Physician Assistant
  • The Woodlands, TX
National Provider Identifier
1982201091
Registry record updated Nov 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA13742 Issued in TX
Practice address
9301 Pinecroft Dr Ste 100
The Woodlands, TX 77380-3178
Phone
(281) 364-1001
NPI assigned
Oct 2, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 4, 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 PA13742 TX Primary

Addresses

Primary practice location

9301 Pinecroft Dr Ste 100
The Woodlands, TX 77380-3178

Mailing address

450 Gears Rd Ste 420
Houston, TX 77067-4529

Other practice location 1

20631 Kuykendahl Rd Ste 100
Spring, TX 77379-3318
Phone (281) 453-1001

Other practice location 2

11620 Louetta Rd Ste D
Houston, TX 77070-1282
Phone (281) 370-9331

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
I20201015001716 TX Practitioner - Physician Assistant 6709206550 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Allergy and ENT Associates PLLCGroup PAC ID 4688660715, 31 clinicians

Practice addresses (Care Compare)

23543 Kingsland Blvd
Suite 100
Katy, TX 77494-3962
Phone (281) 693-0084

25250 Northwest Fwy
Suite 100
Cypress, TX 77429-1075
Phone (281) 970-7788

561 W Medical Ctr Blvd
Webster, TX 77598-4240
Phone (281) 332-2348

8800 Katy Fwy
Suite 250
Houston, TX 77024-1698
Phone (713) 461-6711

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Austin Family Allergy & Asthma, PA CurrentSince Nov 4, 2024 Accepting new patients
Texas Health Physicians Group CurrentSince Sep 1, 2022 Accepting new patients
Allergy & ENT Associates, PLLC PastSince Dec 3, 2023 Accepting new patients

Locations

1600 Hospital Pkwy
Bedford, TX 76022
Phone (817) 355-7803

1325 Pennsylvania Ave
Ste 890
Ft Worth, TX 76104
Phone (817) 250-4280

11620 Louetta Rd
Ste D
Houston, TX 77070
Phone (281) 370-9331

9223 Broadway St
Ste 103
Pearland, TX 77584
Phone (281) 412-7111

20631 Kuykendahl Rd
Ste 100
Spring, TX 77379
Phone (281) 453-1001

341 Wheatfield Dr
Ste 100
Sunnyvale, TX 75182
Phone (972) 329-1996

9301 Pinecroft Dr
Ste 100
The Woodlands, TX 77380
Phone (281) 364-1001

561 W Medical Center Blvd
Ste G
Webster, TX 77598
Phone (281) 332-2348

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": "1601596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730678400000",
    "number": "1982201091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 GEARS RD STE 420",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770674529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9301 PINECROFT DR STE 100",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773803178",
            "telephone_number": "281-364-1001"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "20631 Kuykendahl Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Spring",
            "state": "TX",
            "postal_code": "773793318",
            "country_code": "US",
            "telephone_number": "281-453-1001",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11620 Louetta Rd Ste D",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770701282",
            "country_code": "US",
            "telephone_number": "281-370-9331",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WARNER",
        "first_name": "MACKENZIE",
        "middle_name": "ANN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-02",
        "last_updated": "2024-11-04",
        "certification_date": "2024-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA13742",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in The Woodlands, TX

Sources for this page

Verify at the official NPI Registry.