Mackenzie Weis
NPI 1104636547 · Physician Assistant · South Haven, MN
Enrolled with Medicare as Practitioner - Physician Assistant · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Mackenzie Weis is a Physician Assistant provider in South Haven, MN (NPI 1104636547).
Provider details
- NPI number
- 1104636547
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Student, Health Care
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2025-01-08
- Last updated
- 2025-07-02
- Certified
- 2025-07-02
Frequently asked questions
- What is Mackenzie Weis's NPI number?
- Mackenzie Weis's National Provider Identifier (NPI) is 1104636547, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Mackenzie Weis's specialty?
- Mackenzie Weis is listed in the NPPES registry with a primary specialty of Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Mackenzie Weis located?
- Mackenzie Weis's practice location on file with NPPES is 306 149th St, South Haven, MN 55382-9140.
- What is Mackenzie Weis's phone number?
- The practice phone number listed in the NPPES registry for Mackenzie Weis is (320) 291-0229.
- Does Mackenzie Weis accept Medicare?
- Mackenzie Weis is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Mackenzie Weis's NPI active?
- Yes — Mackenzie Weis's NPI (1104636547) is active in the NPPES registry as of the last update on 2025-07-02.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.