Keith a Mackenzie DO PC
NPI 1396971958 · Procedural Dermatology Physician · Prescott, AZ
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Keith a Mackenzie DO PC is a Procedural Dermatology Physician organization in Prescott, AZ (NPI 1396971958).
Provider details
- NPI number
- 1396971958
- Entity type
- Organization
- Primary specialty
- Procedural Dermatology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Jamie Quinn, Credentialing/Billing Supervisor(928) 541-1312
- License
- 3225 (AZ)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 yrs in NPPES registry
- Profile completeness38% of score
100% 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
Other names (DBA / former)
- Doing business as
- Mackenzie Dermatology
Registry dates
- Enumerated
- 2009-06-09
- Last updated
- 2017-10-18
Frequently asked questions
- What is Keith a Mackenzie DO PC's NPI number?
- Keith a Mackenzie DO PC's National Provider Identifier (NPI) is 1396971958, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Keith a Mackenzie DO PC?
- Keith a Mackenzie DO PC is classified in the NPPES registry as Procedural Dermatology Physician (Allopathic & Osteopathic Physicians).
- Where is Keith a Mackenzie DO PC located?
- Keith a Mackenzie DO PC's practice location on file with NPPES is 3190 Clearwater Dr, Prescott, AZ 86305-7131.
- What is Keith a Mackenzie DO PC's phone number?
- The practice phone number listed in the NPPES registry for Keith a Mackenzie DO PC is (928) 541-1312.
- Does Keith a Mackenzie DO PC accept Medicare?
- Keith a Mackenzie DO PC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Keith a Mackenzie DO PC?
- The authorized official listed on Keith a Mackenzie DO PC's NPPES record is Jamie Quinn, Credentialing/Billing Supervisor. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Keith a Mackenzie DO PC's NPI active?
- Yes — Keith a Mackenzie DO PC's NPI (1396971958) is active in the NPPES registry as of the last update on 2017-10-18.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.