Mackenzie Moore, PA
Physician Assistant · Fredonia, NY
Mackenzie Moore, PA is a physician assistant with a practice address in Fredonia, New York, and NPI 1154244465, issued on Aug 3, 2026. Check the license (New York 036065-01, as entered in NPPES) with the New York board that licenses this profession; the federal record below is the public data PlainDoctor holds for this provider.
- Name
- Mackenzie Moore
- Credential
- PA
- Primary taxonomy
- Physician Assistant 363A00000X
- License number
- 036065-01 NY
Self-reported in NPPES; status is on the state search - Practice location
- 3780 Eagle St, Fredonia, NY 14063
- Phone
- (716) 672-3030
- Enumerated
- Aug 3, 2026
- Record last updated
- Aug 3, 2026
- Entity
- Type 1 · individual
8 nearest physician assistant records → All 15,555 in New York → Look up another NPI →
Also registered at 3780 Eagle St
A shared address usually means a shared clinic or building; it does not show who employs whom.
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Verify Mackenzie Moore in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich New York board licenses this profession
Search for license 036065-01Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Mackenzie Moore among 15,555 physician assistant records in New York
Mackenzie Moore, PA is one of 15,555 physician assistant records with a practice address in New York. 74% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does not. Its NPI, issued in 2026, is newer than 96% of them.
- NPI issued2026 · 96% of these records are older, 0% newer
- In a Medicare fileNo · 74% of these records are
- In the CMS Doctors and Clinicians fileNo · 52% of these records are
- Record last updated2026 · 48% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 363A00000X and a New York practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
6 physician assistant records list a practice address in Fredonia
They are 6 of the 179 NPPES records with a practice address in Fredonia, and 15,555 physician assistant records in New York. No Medicare prescribing, quality score, industry payment or hospital affiliation is published for this NPI.
All 15,555 in New York → Every provider in Fredonia → Physician Assistant nationwide →
The 8 physician assistant records with the nearest ZIP codes
- Jennifer Askar, PA-CFredonia, NY 140631124485313
- Sarah Bartholomew, PA-CFredonia, NY 140631134535974
- Dawn Buczkowski, PA-CFredonia, NY 140631780995472
- Melissa Harp, PAFredonia, NY 140631093968844
- Mary Rudloff, PA-CFredonia, NY 140631407841356
- Harmony Depan, RPACForestville, NY 140621841294675
- Crystal Densmore, PA-CElma, NY 140591659739936
- Howard Smith, PAGasport, NY 140671881659811
Common questions
What is Mackenzie Moore, PA's NPI number?
Mackenzie Moore, PA's National Provider Identifier (NPI) is 1154244465, issued on Aug 3, 2026. An NPI identifies a provider in billing; it is not a license.
Where is Mackenzie Moore, PA located?
The NPPES record lists a practice address at 3780 Eagle St, Fredonia, NY, 14063. Phone: (716) 672-3030. Providers update this record themselves, so call before visiting.
How can I verify Mackenzie Moore, PA's license?
NPPES lists New York license number 036065-01, as entered by the provider. Search the New York board that licenses this profession; the NPPES record confirms identity only.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.