✓ Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Physician Assistant (363A00000X) ✓ HHS OIG Screened Clear ✓ Medicare PECOS Enrolled 🩺 Entity Type 1 (Individual)

MAKENZIE LYNN ABBOTT, PA-C (NPI #1003436585)

Physician Assistant • JEFFERSON CITY, MO • Status: Active Federal Registration

⚙️ JSON API
CMS-1500 Box 24J / 33a • NPI
1003436585
Type 1 Individual Rendering/Ordering
HIPAA NUCC Taxonomy • CMS Code
363A00000X (CMS 97)
Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Physician Assistant
Box 32 Service Location & ZIP+4
1014 MADISON ST, JEFFERSON CITY, MO, 65101-3458
✓ 9-Digit EDI 837 ZIP+4 (65101-3458)
Practice Phone & Referral Fax
Fax: (573) 644-7880
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1003436585 (MAKENZIE LYNN ABBOTT, PA-C) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

Medicare Part B
✓ Eligible
DMEPOS Ordering
✓ Eligible
Home Health (HHA)
✓ Eligible
Power Mobility
✓ Eligible
Hospice Referring
No

Empirical CMS Medicare Claims, CPT Utilization & Part D Prescribing (NPI #1003436585)

Medicare Beneficiaries
212
Total Billed Services
563
Distinct CPT/HCPCS Codes
12
Medicare Allowed Total
$32,108.71

Actual Top Billed CPT / HCPCS Procedures (CMS Part B)

CPT / HCPCSClinical Procedure DescriptionServices
99213 Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more139
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more240
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit27
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's134

Actual Top Prescribed Medications (CMS Part D)

Brand / Generic MedicationTotal ClaimsPatients
Advair Diskus
Fluticasone Propion/Salmeterol
11<11
Advair Hfa
Fluticasone Propion/Salmeterol
13<11
Albuterol Sulfate Hfa
Albuterol Sulfate
12338
Alendronate Sodium
Alendronate Sodium
34<11
Allopurinol
Allopurinol
44<11
Amitriptyline Hcl
Amitriptyline Hcl
4614
Amlodipine Besylate
Amlodipine Besylate
16946
Amlodipine Besylate-Benazepril
Amlodipine Besylate/Benazepril
18<11

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number1003436585 (NPI-1 Individual Practitioner)
Provider / Legal NameMAKENZIE LYNN ABBOTT, PA-C
Plain-English SpecialtyLicensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Physician Assistant
NUCC Code: 363A00000X (Physician Assistant)
Certifying / Licensing BodyState Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address1014 MADISON ST, JEFFERSON CITY, MO, 65101-3458
Practice Telephone / FaxTel: (573) 644-6999 | Fax: (573) 644-7880
Administrative Mailing AddressPO BOX 843966, KANSAS CITY, MO, 64184-3966
Enumeration & Last SyncEnumerated: 2020-04-24 | CMS Record Updated: 2025-05-19

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

1014 MADISON ST, JEFFERSON CITY, MO, 65101-3458

🗺️ Open in Google Maps 🏥 More Providers in JEFFERSON CITY

Plain-English Taxonomy & CMS Crosswalk (363A00000X)

What Does Taxonomy Code 363A00000X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 363A00000X translates to:
"Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Physician Assistant"

CMS-1500 Medicare Specialty Crosswalk: CMS Code 97 (Physician Assistant)
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Physician Assistant for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (MAKENZIE LYNN ABBOTT, PA-C)

Typical CPT / Diagnostic Procedures:
  • Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
  • Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
  • Preventive Screening, Patient Counseling & Multidisciplinary Referral
Common Therapeutic Classes:
  • Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English DescriptionState License & Primary Status
363A00000X — Physician Assistant
Plain English: Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Physician Assistant
State: MO | License: 2020007089 | Primary: Yes (Primary)
Medical Billing, RCM & Hospital Credentialing Teams:
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