MRS. MACKENZIE LACROIX (PA-C) – Physician Assistant, NPI 1174292072

MRS. MACKENZIE LACROIX (PA-C) is a healthcare provider. based in Boston, Massachusetts. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. The NPI Number for MRS. MACKENZIE LACROIX (PA-C) is 1174292072

Main info

Female
4 Years Of Experience
Accepts Medicare Assignment
Name
MRS. MACKENZIE LACROIX (PA-C)
NPI
1174292072
Phone
(517) 630-1093
Address
389 BEACON ST APT 1
Enumeration Date
13 September 2021
Last Update Date
2 January 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7812135500
Graduation Year
2022 (4 years ago)
PAC ID
0941672844
Group Practice PAC ID
1153557616
Professional Enrollment ID
I20230201003321
Address ID
MA018673270RE30XXXRDXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:4State licenses:0Digital endpointsOther names

5,091 PHYSICIAN ASSISTANT in MA

Provider Addresses for MRS. MACKENZIE LACROIX (PA-C)

  • 389 BEACON ST APT 1

    BOSTON, MA 021161050

    Phone: (517) 630-1093

    Type: Mailing

  • 585 LEBANON ST

    MELROSE, MA 021763298

    Phone: (781) 979-3300

    Type: Location

  • 172 MARLBOROUGH ST APT BF

    BOSTON, MA 021161842

    Phone: (517) 630-1093

    Type: Mailing

  • 360 HUNTINGTON AVE

    BOSTON, MA 021155000

    Phone: (617) 373-2000

    Type: Location

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: 2023-02-01

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
I20230201003321IPhysician AssistantMATBD

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
99285Emergency department visit with high level of medical decision making149145$0
93042Electrocardiogram (ecg) 1 to 3 leads with review by physician only129128$0
99284Emergency department visit with moderate level of medical decision making10299$0
99214Established patient office or other outpatient visit, 30-39 minutes3535$0
99283Emergency department visit with low level of medical decision making1716$0
View full utilization report →

Insurance plans in this area (ZIP 02116)

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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: 1153557616View full group profile
NameSpecialtyState
Physician AssistantMA
Emergency MedicineMA
Emergency MedicineMA
-MA
Physician AssistantMA
-MA
Physician AssistantMA
Physician AssistantMA
Emergency MedicineMA
Physician AssistantMA

Reviews

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Frequently asked questions

Where can patients find MRS. MACKENZIE LACROIX (PA-C)'s NPI?
You can confirm MRS. MACKENZIE LACROIX (PA-C) with NPI 1174292072; it appears in the national provider directory.
Does this profile mean MRS. MACKENZIE LACROIX (PA-C) is currently active?
Yes — MRS. MACKENZIE LACROIX (PA-C) appears active in the national provider directory.
What does MRS. MACKENZIE LACROIX (PA-C) treat or focus on?
Patients typically see MRS. MACKENZIE LACROIX (PA-C) under the specialty Physician Assistant. Clinical services aligned with this taxonomy classification.
Where is MRS. MACKENZIE LACROIX (PA-C)'s primary listing?
We display Boston, Massachusetts because that is what the record indicates for MRS. MACKENZIE LACROIX (PA-C).
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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