Mackenzie J. Weis
Physician Assistant · South Haven, MN
Mackenzie J. Weis is a physician assistant with a practice address in South Haven, Minnesota, and NPI 1104636547, issued on Jan 8, 2025. Check the license (Minnesota 15408, as entered in NPPES) with the Minnesota board that licenses this profession; the Medicare figures below come from public CMS files.
- Name
- Mackenzie J. Weis
- Primary taxonomy
- Physician Assistant 363A00000X
- License number
- 15408 MN
Self-reported in NPPES; status is on the state search - Practice location
- 306 149TH St, South Haven, MN 55382
- Phone
- (320) 291-0229
- Enumerated
- Jan 8, 2025
- Record last updated
- Jul 2, 2025
- Medicare enrollment
- Enrolled (PECOS I20250813003540); accepts Medicare assignment
- Entity
- Type 1 · individual
8 nearest physician assistant records → All 4,007 in Minnesota → Look up another NPI →
Verify Mackenzie J. Weis in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich Minnesota board licenses this profession
Search for license 15408Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Bills Medicare through one group practice
- Centracare ClinicSaint Cloud, MN
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Mackenzie J. Weis among 4,007 physician assistant records in Minnesota
Mackenzie J. Weis is one of 4,007 physician assistant records with a practice address in Minnesota. 85% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2025, is newer than 95% of them.
- NPI issued2025 · 95% of these records are older, 1% newer
- In a Medicare fileYes · 85% of these records are
- In the CMS Doctors and Clinicians fileYes · 78% of these records are
- Graduated2025 · median 2017 among the 3,131 with a school on file
- Record last updated2025 · 40% 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 Minnesota practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
Physician Assistant providers in Minnesota
There are 4,007 physician assistant records in Minnesota.
The 8 physician assistant records with the nearest ZIP codes
- Annmarie Anderson, PA-CShakopee, MN 553791104447531
- Kari Badali, PA-CShakopee, MN 553791962611210
- Holly Chappel, PA-CShakopee, MN 553791275314577
- Jennifer Frost, PAShakopee, MN 553791750503611
- Brooklyn Gunnare, PA-CShakopee, MN 553791770448219
- Carlee HunterShakopee, MN 553791578144887
- Elizabeth Kennedy Laliberte, PA-CShakopee, MN 553791063500247
- Idil Mohamed, PA-CShakopee, MN 553791255738373
Common questions
What is Mackenzie J. Weis's NPI number?
Mackenzie J. Weis's National Provider Identifier (NPI) is 1104636547, issued on Jan 8, 2025. An NPI identifies a provider in billing; it is not a license.
Where is Mackenzie J. Weis located?
The NPPES record lists a practice address at 306 149TH St, South Haven, MN, 55382. Phone: (320) 291-0229. Providers update this record themselves, so call before visiting.
How can I verify Mackenzie J. Weis's license?
NPPES lists Minnesota license number 15408, as entered by the provider. Search the Minnesota 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. Medicare files from data.cms.gov. 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.