MACKENZIE S. KHAN (DNP) – Family Nurse Practitioner, NPI 1063135101
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
5,720 NURSE PRACTITIONER in MN
Provider Addresses for MACKENZIE S. KHAN (DNP)
6300 Wedgwood Rd N
Maple Grove, MN 553113647
Phone: (866) 389-2727
Type: Location
600 Central Ave E
Saint Michael, MN 553769632
Phone: (651) 331-8969
Type: Location
15300 GROVE CIR N
MAPLE GROVE, MN 553694469
Phone:
Type: Mailing
600 CENTRAL AVE E
SAINT MICHAEL, MN 553769632
Phone: (651) 331-8969
Type: Location
630 W 168TH ST # 4
NEW YORK, NY 100323725
Phone:
Type: Mailing
161 FORT WASHINGTON AVE
NEW YORK, NY 100323729
Phone: (212) 305-5098
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $26.
Total Amount is formed as General ($26) + Research ($0) + Ownership ($0) = $26.
Last reported payment date: 2024-03-14 • Largest payer in this snapshot: Novartis Pharmaceuticals Corporation ($26).
Total Amount
$26
General + Research + Ownership
Payments
1
Total payment records
General Amount
$26
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-03-14
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Novartis Pharmaceuticals Corporation | $26 |
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: 2023-09-22
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20230922000487 | I | Nurse Practitioner | NY | 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 55311)
Loading plans...
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | VA | |
| O P H T H A L M O L O G Y | NY | |
| U R O L O G Y | NY | |
| Nurse Practitioner | NY | |
| - | CA | |
| Emergency Medicine | NY | |
| General Surgery | NY | |
| Neuropsychiatry, Neurology | NY | |
| - | NY | |
| - | NY |
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.