DR. MACKENZI J. NELSON (D.P.M) – Podiatrist, NPI 1962689380

DR. MACKENZI J. NELSON (D.P.M) is a healthcare provider. based in Northbrook, Illinois. specializing in PODIATRY. They hold the professional credentials D.P.M. They hold a License No. LL9464 (MD). The NPI Number for DR. MACKENZI J. NELSON (D.P.M) is 1962689380

Main info

Female
21 Years Of Experience
Accepts Medicare Assignment
Name
DR. MACKENZI J. NELSON (D.P.M)
NPI
1962689380
Phone
(847) 504-5000
Address
425 HUEHL RD
Enumeration Date
28 January 2008
Last Update Date
17 November 2025

Doctor Profile

Medical School Name
TEMPLE UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
6158498748
Graduation Year
2005 (21 years ago)
PAC ID
6002951886
Group Practice PAC ID
3971412677
Professional Enrollment ID
I20181220001844
Address ID
TN371291524MU202XXRDXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience78
Completeness85
Years active:18State licenses:3Digital endpointsOther names

1,038 PODIATRY in IL

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Provider Addresses for DR. MACKENZI J. NELSON (D.P.M)

  • 425, Huehl Road, Northfield Township, Cook County, Illinois, 60062, United States

    #13

    NORTHBROOK, IL 600622319

    Phone: (847) 504-5000

    Fax: (847) 504-5015

    Type: Mailing

  • 225 W WASHINGTON ST STE 1500

    CHICAGO, IL 606063485

    Phone: (847) 504-5000

    Fax: (847) 504-5015

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $53.

Total Amount is formed as General ($53) + Research ($0) + Ownership ($0) = $53.

Last reported payment date: 2023-07-15 • Largest payer in this snapshot: Paratek Pharmaceuticals, Inc. ($53).

Total Amount

$53

General + Research + Ownership

Payments

1

Total payment records

General Amount

$53

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-07-15

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: 2018-12-20

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20100304000247IPodiatryINTBD
I20181220001844IPodiatryTNTBD

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
G0127Trimming of dystrophic nails, any number2,8971,142$0
11720Removal of fingernails or toenails, 1-5 nails2,431961$0
11721Removal of fingernails or toenails, 6 or more nails1,013446$0
11055Removal of noncancer thickened skin growth, 1 growth346249$0
11056Removal of noncancer thickened skin growth, 2-4 growths324192$0
View full utilization report →

Insurance plans in this area (ZIP 60062)

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Provider's Procedures

DR. MACKENZI J. NELSON (D.P.M) performs procedures in PODIATRY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PODIATRYIL11056Removal of 2 to 4 thickened skin growths5237
PODIATRYIL11720Removal of tissue from 1 to 5 finger or toe nails1624767

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: 3971412677View full group profile
NameSpecialtyState
P O D I A T R YTX
P O D I A T R YIL
P O D I A T R YMA
-IL
-IL
P O D I A T R YNY
P O D I A T R YMO
P O D I A T R YIL
P O D I A T R YMI
Nurse PractitionerMN

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Frequently asked questions

Where can patients find DR. MACKENZI J. NELSON (D.P.M)'s NPI?
You can confirm DR. MACKENZI J. NELSON (D.P.M) with NPI 1962689380; it appears in the national provider directory.
Does this profile mean DR. MACKENZI J. NELSON (D.P.M) is currently active?
Yes — DR. MACKENZI J. NELSON (D.P.M) appears active in the national provider directory.
What kind of provider is DR. MACKENZI J. NELSON (D.P.M)?
The page reflects Podiatrist for DR. MACKENZI J. NELSON (D.P.M). Clinical services aligned with this taxonomy classification.
What location shows for DR. MACKENZI J. NELSON (D.P.M)?
We surface Northbrook, Illinois for DR. MACKENZI J. NELSON (D.P.M) based on available NPPES addresses.
What if Northbrook, Illinois seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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