AMANDA MCKENZIE (PA-C) – Medical Physician Assistant, NPI 1629506092

AMANDA MCKENZIE (PA-C) is a healthcare provider. based in Berlin, Connecticut. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 3870 (CT). The NPI Number for AMANDA MCKENZIE (PA-C) is 1629506092

Main info

Female
9 Years Of Experience
Accepts Medicare Assignment
Name
AMANDA MCKENZIE (PA-C)
NPI
1629506092
Phone
Not provided
Address
65 GLEN ST
Enumeration Date
30 May 2017
Last Update Date
2 October 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2033848681
Graduation Year
2017 (9 years ago)
PAC ID
4082985205
Group Practice PAC ID
8022905322
Professional Enrollment ID
I20170807002781
Address ID
CT068253506FA1931XTPKE400
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience37
Completeness75
Years active:9State licenses:1Digital endpointsOther names

3,243 PHYSICIAN ASSISTANT in CT

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Provider Addresses for AMANDA MCKENZIE (PA-C)

  • 65, Glen Street, Turkey Hill, Berlin, Hartford County, Connecticut, 06037, United States

    BERLIN, CT 060372022

    Phone:

    Type: Mailing

  • 75, Kings Highway Cutoff, Fairfield, Fairfield County, Connecticut, 06824, United States

    FAIRFIELD, CT 068245340

    Phone: (203) 333-1133

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 4 Open Payments records for all available years, with a total value of $206.

Total Amount is formed as General ($206) + Research ($0) + Ownership ($0) = $206.

Last reported payment date: 2024-06-04 • Largest payer in this snapshot: AIMMUNE THERAPEUTICS, INC. ($124).

Total Amount

$206

General + Research + Ownership

Payments

4

Total payment records

General Amount

$206

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-06-04

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2017-08-07

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20170807002781IPhysician AssistantCTTBD

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.

Verify on CMS Revalidation Lookup Tool

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes193139$0
99215Established patient office or other outpatient visit, 40-54 minutes1918$0
View full utilization report →

Insurance plans in this area (ZIP 06037)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8022905322View full group profile
NameSpecialtyState
Nurse PractitionerCT
Internal MedicineNY
N E U R O L O G YCT
Physician AssistantCT
Physician AssistantCT
Internal MedicineCT
P O D I A T R YCT
P O D I A T R YCT
Physical Medicine And Rehabilitation, NeurologyCT
Internal MedicineCT

Reviews

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Frequently asked questions

Can I verify AMANDA MCKENZIE (PA-C) with an NPI only?
You can start verification with NPI 1629506092 for AMANDA MCKENZIE (PA-C), then check state licensing separately.
Does CMS list AMANDA MCKENZIE (PA-C) as active?
Yes — AMANDA MCKENZIE (PA-C) is active in the NPI listing used on this page.
What healthcare role does AMANDA MCKENZIE (PA-C) hold?
Scheduling teams often label AMANDA MCKENZIE (PA-C) under Medical Physician Assistant. Clinical services aligned with this taxonomy classification.
Where is AMANDA MCKENZIE (PA-C) based?
AMANDA MCKENZIE (PA-C) is tied to Berlin, Connecticut in the data we show; additional addresses may exist on the full record.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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