DR. WAYNE SR. MACKENZIE (NURSE PRACTITIONER) – Psychiatric/Mental Health Nurse Practitioner, NPI 1144589086
Psychiatric/Mental Health Nurse Practitioner
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
7,509 NURSE PRACTITIONER in AZ
Provider Addresses for DR. WAYNE SR. MACKENZIE (NURSE PRACTITIONER)
319 N LITCHFIELD RD STE 105
GOODYEAR, AZ 853381256
Phone: (623) 224-1162
Fax: (888) 346-3899
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 22 Open Payments records for all available years, with a total value of $438.
Total Amount is formed as General ($438) + Research ($0) + Ownership ($0) = $438.
Last reported payment date: 2024-09-11 • Largest payer in this snapshot: ITI, Inc. ($130).
Total Amount
$438
General + Research + Ownership
Payments
22
Total payment records
General Amount
$438
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-09-11
Latest reported date
Top Companies
Largest payers in this snapshot
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2013-09-06
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20130906000484 | I | Nurse Practitioner | AZ | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 85338)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| P S Y C H I A T R Y | NE | |
| Mental Health Counselor | AZ | |
| Clinical Social Worker | AZ | |
| Mental Health Counselor | AZ | |
| - | WI | |
| Nurse Practitioner | AZ | |
| Nurse Practitioner | AZ | |
| Mental Health Counselor | MI | |
| Mental Health Counselor | OK | |
| Nurse Practitioner | AZ |
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