MACKENZIE BREANNE WILLS – Occupational Therapist, NPI 1760135438

MACKENZIE BREANNE WILLS is a healthcare provider. based in Omaha, Nebraska. specializing in OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE. They hold a License No. 2595 (NE). The NPI Number for MACKENZIE BREANNE WILLS is 1760135438

Main info

Female
Sole Proprietor
5 Years Of Experience
Accepts Medicare Assignment
Name
MACKENZIE BREANNE WILLS
NPI
1760135438
Phone
(402) 577-0496
Address
1710 N 144TH ST
Enumeration Date
1 February 2022
Last Update Date
5 June 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4025057989
Graduation Year
2021 (5 years ago)
PAC ID
8820454036
Group Practice PAC ID
6507137130
Professional Enrollment ID
I20230613000282
Address ID
NE680466228PA701XXDRXX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience37
Completeness75
Years active:4State licenses:1Digital endpointsOther names

230 OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE in NE

Provider Addresses for MACKENZIE BREANNE WILLS

  • 1710 N 144TH ST

    OMAHA, NE 681544715

    Phone: (402) 577-0496

    Type: Location

  • 701 PINNACLE DR

    PAPILLION, NE 680466224

    Phone: (402) 505-7989

    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: 2023-06-13

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
I20230613000282IOccupational Therapist In Private PracticeNETBD

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
97530Therapy procedure using functional activities11313$0
97140Therapy procedure using manual technique, each 15 minutes6212$0
View full utilization report →

Insurance plans in this area (ZIP 68154)

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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: 6507137130View full group profile
NameSpecialtyState
C H I R O P R A C T I CNE
Emergency MedicineNE
Physician AssistantNE
Nurse PractitionerNE
Nurse PractitionerIA
C H I R O P R A C T I CNE
Pain Management, AnesthesiologyNE
C H I R O P R A C T I CNE
-NE
C H I R O P R A C T I CNC

Reviews

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Frequently asked questions

Is there an official ID for MACKENZIE BREANNE WILLS in U.S. healthcare records?
The official identifier for MACKENZIE BREANNE WILLS is NPI 1760135438.
Is there an active status for MACKENZIE BREANNE WILLS?
For scheduling context, MACKENZIE BREANNE WILLS is shown as active in the registry.
What clinical focus is listed for MACKENZIE BREANNE WILLS?
At a glance, MACKENZIE BREANNE WILLS is tied to Occupational Therapist. Clinical services aligned with this taxonomy classification.
Where in Nebraska is MACKENZIE BREANNE WILLS registered?
Use Omaha, Nebraska as the headline location for MACKENZIE BREANNE WILLS here.
What does 4 location(s) imply?
4 practice locations appear in the available data.

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