MACKENZIE BERRY (PA-C) – Physician Assistant, NPI 1659049013

MACKENZIE BERRY (PA-C) is a healthcare provider. based in Cincinnati, Ohio. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 50.006785RX (OH). The NPI Number for MACKENZIE BERRY (PA-C) is 1659049013

Main info

Female
6 Years Of Experience
Accepts Medicare Assignment
Name
MACKENZIE BERRY (PA-C)
NPI
1659049013
Phone
Not provided
Address
3333 BURNET AVE
Enumeration Date
1 September 2021
Last Update Date
16 January 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3304942097
Graduation Year
2020 (6 years ago)
PAC ID
9032507140
Group Practice PAC ID
5294712188
Professional Enrollment ID
I20211022000255
Address ID
OH446672291OR830XXSTXX402
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience37
Completeness85
Years active:4State licenses:1Digital endpointsOther names

5,032 PHYSICIAN ASSISTANT in OH

Provider Addresses for MACKENZIE BERRY (PA-C)

  • 3333 BURNET AVE

    CINCINNATI, OH 452293026

    Phone:

    Type: Mailing

  • 1190 GLAMORGAN ST

    ALLIANCE, OH 446012738

    Phone:

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 50 Open Payments records for all available years, with a total value of $736.

Total Amount is formed as General ($736) + Research ($0) + Ownership ($0) = $736.

Last reported payment date: 2024-12-16 • Largest payer in this snapshot: ABBVIE INC. ($394).

Total Amount

$736

General + Research + Ownership

Payments

50

Total payment records

General Amount

$736

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-16

Latest reported date

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: 2021-10-22

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20211022000255IPhysician AssistantOHTBD

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
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes2220$0
View full utilization report →

Insurance plans in this area (ZIP 45229)

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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: 5294712188View full group profile
NameSpecialtyState
Nurse PractitionerNY
N E U R O L O G YOH
N E U R O L O G YOH
Physician AssistantOH
N E U R O L O G YOH
Physical Medicine And RehabilitationOH
N E U R O L O G YOH
Physician AssistantOH
N E U R O L O G YOH
-OH

Reviews

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Frequently asked questions

Where can patients find MACKENZIE BERRY (PA-C)'s NPI?
You can confirm MACKENZIE BERRY (PA-C) with NPI 1659049013; it appears in the national provider directory.
Is MACKENZIE BERRY (PA-C) currently active in the NPI registry?
CMS-published data lists MACKENZIE BERRY (PA-C) as an active registrant.
What field does MACKENZIE BERRY (PA-C) work in?
You can think of MACKENZIE BERRY (PA-C) as practicing within Physician Assistant. Clinical services aligned with this taxonomy classification.
Does MACKENZIE BERRY (PA-C) practice in Ohio?
You will see Cincinnati, Ohio on file for MACKENZIE BERRY (PA-C) alongside any extra practice locations.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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