ELIZABETH DIANE MCKENZIE – Registered Dietitian, NPI 1306461504

ELIZABETH DIANE MCKENZIE is a healthcare provider. based in San antonio, Texas. specializing in REGISTERED DIETITIAN OR NUTRITION PROFESSIONAL. They hold a License No. DT03995 (TX). The NPI Number for ELIZABETH DIANE MCKENZIE is 1306461504

Main info

Female
Sole Proprietor
38 Years Of Experience
Accepts Medicare Assignment
Name
ELIZABETH DIANE MCKENZIE
NPI
1306461504
Phone
(312) 371-5656
Address
2219 PEBBLE CREST CIR
Enumeration Date
12 June 2020
Last Update Date
16 April 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2104509000
Graduation Year
1988 (38 years ago)
PAC ID
8820073869
Group Practice PAC ID
0042128548
Professional Enrollment ID
I20200702000504
Address ID
TX782293931SA8300XDRXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience44
Completeness75
Years active:5State licenses:1Digital endpointsOther names

529 REGISTERED DIETITIAN OR NUTRITION PROFESSIONAL in TX

Provider Addresses for ELIZABETH DIANE MCKENZIE

  • 2219 PEBBLE CREST CIR

    SAN ANTONIO, TX 782311927

    Phone: (312) 371-5656

    Type: Mailing

  • 7703 FLOYD CURL DR

    SAN ANTONIO, TX 782293901

    Phone: (210) 325-5748

    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: 2020-07-02

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
I20200702000504IRegistered Dietitian Or Nutrition ProfessionalTXTBD

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
97802Therapy procedure for nutrition management, each 15 minutes12029$0
97803Therapy procedure reassessment for nutrition management, each 15 minutes4915$0
View full utilization report →

Insurance plans in this area (ZIP 78231)

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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: 0042128548View full group profile

Reviews

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Frequently asked questions

Is there an official ID for ELIZABETH DIANE MCKENZIE in U.S. healthcare records?
The official identifier for ELIZABETH DIANE MCKENZIE is NPI 1306461504.
Is ELIZABETH DIANE MCKENZIE shown as active in public data?
Registry records indicate ELIZABETH DIANE MCKENZIE maintains an active NPI.
What kind of doctor is ELIZABETH DIANE MCKENZIE?
ELIZABETH DIANE MCKENZIE is associated with Registered Dietitian in the directory — Clinical services aligned with this taxonomy classification.
What practice footprint exists for ELIZABETH DIANE MCKENZIE?
Travel planning: use San Antonio, Texas as the reference point for ELIZABETH DIANE MCKENZIE, then confirm.
Does ELIZABETH DIANE MCKENZIE accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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