MACKENZIE EBERSOLE NPI 1932916764

NPI Information

  • NPI: 1932916764
  • Provider Name: MACKENZIE EBERSOLE
  • Classification: Physician Assistant - 363AM0700X
  • Specialization: Medical
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 301 OHIO RIVER BLVD STE 202
    SEWICKLEY, PA
    ZIP 15143
  • Phone: (412) 741-2122

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NPI Details

Mackenzie Ebersole is a medical physician assistant in Sewickley, PA with 2 years of experience. Mackenzie Ebersole NPI is 1932916764. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

301 OHIO RIVER BLVD STE 202
SEWICKLEY, PA
ZIP 15143-300
Phone: (412) 741-2122

The NPI 1932916764 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 12/16/2024 and was last updated on 10/2/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363AM0700XPhysician AssistantMedicalMA066200PENNSYLVANIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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