BRITTANY ANN MACKIE (P.A.) – Physician Assistant, NPI 1619487394
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
10,570 PHYSICIAN ASSISTANT in CA
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Provider Addresses for BRITTANY ANN MACKIE (P.A.)
2nd Street, Santa Monica, Los Angeles County, California, 90401, United States
SANTA MONICA, CA 904054123
Phone: (480) 522-4985
Type: Location
1688 E BOSTON ST STE 101
GILBERT, AZ 852956222
Phone: (480) 855-0085
Fax: (480) 855-0086
Type: Mailing
1688 E BOSTON ST STE 121-124
GILBERT, AZ 852956221
Phone: (480) 855-0085
Fax: (480) 855-0086
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 78 Open Payments records for all available years, with a total value of $1,720.
Total Amount is formed as General ($1,720) + Research ($0) + Ownership ($0) = $1,720.
Last reported payment date: 2024-12-20 • Largest payer in this snapshot: ABBVIE INC. ($489).
Total Amount
$1,720
General + Research + Ownership
Payments
78
Total payment records
General Amount
$1,720
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-20
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: 2023-08-16
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20230810003656 | I | Physician Assistant | TX | TBD |
| I20230816003360 | I | Physician Assistant | 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 90405)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| D E R M A T O L O G Y | AZ | |
| Physician Assistant | AZ | |
| Physician Assistant | AZ | |
| D E R M A T O L O G Y | AZ | |
| D E R M A T O L O G Y | HI | |
| - | AZ | |
| D E R M A T O L O G Y | AZ | |
| D E R M A T O L O G Y | AZ | |
| Physician Assistant | AZ | |
| D E R M A T O L O G Y | UT |
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