MRS. MACKENZIE ROSE KILPATRICK (PA-C) – Physician Assistant, NPI 1891331211

MRS. MACKENZIE ROSE KILPATRICK (PA-C) is a healthcare provider. based in Colchester, Connecticut. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 4639 (CT). The NPI Number for MRS. MACKENZIE ROSE KILPATRICK (PA-C) is 1891331211

Main info

Female
7 Years Of Experience
Accepts Medicare Assignment
Name
MRS. MACKENZIE ROSE KILPATRICK (PA-C)
NPI
1891331211
Phone
(860) 878-1020
Address
44 PARKSIDE DR
Enumeration Date
20 November 2019
Last Update Date
8 May 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8604931950
Graduation Year
2019 (7 years ago)
PAC ID
8022444884
Group Practice PAC ID
3870533730
Professional Enrollment ID
I20200214001214
Address ID
CT061094227WE988XXHWYX400
Data current as of
3 June 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience41
Completeness85
Years active:6State licenses:1Digital endpointsOther names

3,244 PHYSICIAN ASSISTANT in CT

Provider Addresses for MRS. MACKENZIE ROSE KILPATRICK (PA-C)

  • 44 PARKSIDE DR

    COLCHESTER, CT 064152343

    Phone: (860) 878-1020

    Type: Mailing

  • 988 SILAS DEANE HWY

    WETHERSFIELD, CT 061094227

    Phone: (860) 493-1950

    Fax: (860) 493-1961

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2020-02-14

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
I20200214001214IPhysician 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
69210Removal of impacted ear wax158122$0
99213Established patient office or other outpatient visit, 20-29 minutes11194$0
99203New patient office or other outpatient visit, 30-44 minutes110110$0
31575Diagnostic exam of voice box using a flexible endoscope4339$0
31231Diagnostic exam of nasal passages using an endoscope2020$0
View full utilization report →

Insurance plans in this area (ZIP 06415)

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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: 3870533730View full group profile
NameSpecialtyState
-CT
O T O L A R Y N G O L O G YCT
Qualified AudiologistMA
O T O L A R Y N G O L O G YCT
Physician AssistantCT
O T O L A R Y N G O L O G YCT
Surgical Oncology, OtolaryngologyCT
Physician AssistantIL
Plastic And Reconstructive Surgery, OtolaryngologyCT
Qualified AudiologistCT

Reviews

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Frequently asked questions

What number should I use to identify MRS. MACKENZIE ROSE KILPATRICK (PA-C) for billing?
Administrative and clinical systems typically use NPI 1891331211 for MRS. MACKENZIE ROSE KILPATRICK (PA-C).
Is MRS. MACKENZIE ROSE KILPATRICK (PA-C)'s NPI status active today?
Active status means MRS. MACKENZIE ROSE KILPATRICK (PA-C)'s NPI record is not deactivated in the public file.
What services align with MRS. MACKENZIE ROSE KILPATRICK (PA-C)'s listing?
MRS. MACKENZIE ROSE KILPATRICK (PA-C)'s public classification highlights Physician Assistant. Clinical services aligned with this taxonomy classification.
Which community is linked to MRS. MACKENZIE ROSE KILPATRICK (PA-C)?
MRS. MACKENZIE ROSE KILPATRICK (PA-C) shows a connection to Colchester, Connecticut in registry-derived data.
Can I export MRS. MACKENZIE ROSE KILPATRICK (PA-C)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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