Independent US Healthcare Provider Directory & Public Medical Database Patient Guides

Mackenzie Redner

Physician Assistant โ€ข Lincoln, CA

Active NPI 1700547726 Individual Practitioner Female Practitioner Accepts Medicare assignment
Practice location in NPPES

77 Lincoln Blvd
Lincoln, CA 956487422

Call 9162582751 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

77 Lincoln Blvd

Lincoln, CA 956487422

Telephone 9162582751
Organization at the Same NPPES Address or Phone
Eric L Ellis Md Inc Facility NPI 1386118305

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

NPPES lists 1 additional practice-address record in Truckee, CA. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

CMS Doctors and Clinicians lists 1 group name: Eric L Ellis Md Inc. See the list

Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File

Medical School

University Of Nevada School Of Medicine

Graduation Year

2023

Medicare patients

202 people with Original Medicare in 2024

Different Original Medicare patients in 2024; counts below 11 are hidden; this does not show availability or quality.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider, 2024.

Medicare-allowed amount

About $23,206 in 2024

The total amount Medicare approved for these services in 2024. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.

What this does not show: Medicare-allowed amount

This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider and Service, 2024.

Paid by Medicare

About $18,274 in 2024

The part of the Medicare-allowed amount that Medicare itself paid in 2024, after patients' deductibles and coinsurance.

What this does not show: Paid by Medicare

This is not the clinician's income and not a measure of quality.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider and Service, 2024.

30-day fills

380 standardized 30-day fills in 2024

CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.

What this does not show: 30-day fills

It is not a count of patients and not a measure of quality.

Part D drug cost

$2,679 in 2024

The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.

What this does not show: Part D drug cost

A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.

Source: CMS, Medicare Part D Prescribers โ€“ by Provider and Drug, 2024.

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2021โ€“2025.

Guide: How to read an Open Payments record

Years since graduation

3 years (graduated 2023)

CMS Doctors and Clinicians data list 2023 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File.

NPI first issued

2022

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Accepts Medicare assignment

CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, โ€œDoes your provider accept Medicare as full payment?โ€

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Mackenzie Redner has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Mackenzie Redner as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Lincoln and California

Billing and prescribing volume is not a quality rating.

Medicare Part B services

More Medicare Part B services than 75% of clinicians listed under Physician Assistant in California (2024, 4,833 clinicians with data). Median for this group: 198. Middle half: 71 to 535.

Too few clinicians listed under Physician Assistant in Lincoln have Medicare Part B data for 2024 to compare.

Medicare-allowed amount

Close to the middle for clinicians listed under Physician Assistant in California (2024, 4,833 clinicians with data). Median for this group: $18,173. Middle half: $6,666 to $41,587.

Too few clinicians listed under Physician Assistant in Lincoln have Medicare Part B data for 2024 to compare.

Paid by Medicare

A higher Medicare payment amount than 60% of clinicians listed under Physician Assistant in California (2024, 4,833 clinicians with data). Median for this group: $13,209. Middle half: $4,792 to $30,879.

Too few clinicians listed under Physician Assistant in Lincoln have Medicare Part B data for 2024 to compare.

Medicare Part D prescriptions

More Part D prescriptions than 60% of clinicians listed under Physician Assistant in California (2024, 7,516 clinicians with data). Median for this group: 229. Middle half: 72 to 718.

Too few clinicians listed under Physician Assistant in Lincoln have Medicare Part D data for 2024 to compare.

Part D drug cost

Close to the middle for clinicians listed under Physician Assistant in California (2024, 7,516 clinicians with data). Median for this group: $3,945. Middle half: $709 to $60,209.

Too few clinicians listed under Physician Assistant in Lincoln have Medicare Part D data for 2024 to compare.

7 active clinicians are listed under Physician Assistant with a practice address in Lincoln, CA (14,458 in California).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Medicare Part D Prescribers (2024), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo ยท Report an error.

Performed Procedures & Service Volume

Services billed to Original Medicare Part B in 2024.

CMS Part B ยท Data Year 2024

CPTยฎ is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2023 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners โ€“ by Provider and Service data, 2024; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.

HCPCS Code Services Patients Submitted Charge Medicare Allowed
J1100 Injection, dexamethasone sodium phosphate, 1 mg
160 12 $2.00 $0.11
99213 Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more
94 89 $270.00 $80.94
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
82 77 $320.00 $115.08
81002 Urinalysis, manual test
37 36 $14.00 $3.41
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
34 34 $325.00 $99.92
71046 X-ray of chest, 2 views
27 26 $120.00 $31.42
87426 Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus
27 27 $75.00 $34.62
96372 Injection of drug or substance under skin or into muscle
27 25 $78.70 $13.11
J1885 Injection, ketorolac tromethamine, per 15 mg
27 14 $24.00 $0.75
87804 Detection test by immunoassay with direct visual observation for influenza virus
22 11 $60.00 $16.22
94640 Inhalation treatment for airway obstruction or sputum production
14 13 $72.00 $7.56

Source: CMS Part B by Provider and Service, 2024; services under 11 beneficiaries omitted by CMS. Privacy limits

Submitted charges are billed amounts, not a price quote for your visit.

Medicare Part D Prescribing Profile & Medications

Medicare Part D prescriptions filled, including refills, in 2024.

CMS Part D ยท Data Year 2024
Brand Name Generic Name Prescriptions Day Supply Total Cost Patients
Prednisone Prednisone 77 569 $247.69 76
Cephalexin Cephalexin 75 514 $475.02 71
Albuterol Sulfate Hfa Albuterol Sulfate 54 981 $1,011.14 49
Methylprednisolone Methylprednisolone 44 264 $279.99 44
Azithromycin Azithromycin 43 215 $175.61 43
Amoxicillin-Clavulanate Potass Amoxicillin/Potassium Clav 38 309 $298.64 38
Ondansetron Odt Ondansetron 18 59 $88.26 18
Doxycycline Hyclate Doxycycline Hyclate 17 131 $102.75 17
Paxlovid Nirmatrelvir/Ritonavir 14 70 $0.00 14

Source: CMS Part D by Provider and Drug, 2024; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2026-08-04
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Medical Board of California.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - PHYSICIAN ASSISTANT

Medicare Enrollment ID

I20240619000268

Enrollment State Jurisdiction

CA

PECOS Control ID

8820531833

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Medicare Group Practice Enrollments

Source: CMS Doctors and Clinicians National Downloadable File

Eric L Ellis Md Inc

5290 Douglas Blvd, Granite Bay, CA 957466205

Phone: 9162582751

Eric L Ellis Md Inc

77 Lincoln Blvd, Lincoln, CA 956487422

Phone: 9162582751

Eric L Ellis Md Inc

5007 Foothills Blvd, Roseville, CA 957476503

Phone: 9167276846

Secondary Practice Locations

10121 Pine Ave

Truckee, CA 961614835

Phone: 5305826011

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

3 listed
Dr. Eric Ellis , MD

Emergency Medicine

NPI 1215968409

Doctor of Medicine (M.D.)

Maria Gracian Lavalle , NPF

Nurse Practitioner - Family

NPI 1831864990
Megan Mobley , FNP-C

Nurse Practitioner - Family

NPI 1912542846

Family Nurse Practitioner (Certified)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

10 Historical Events
๐Ÿ“
Updated Business Mailing Address August 04, 2026

Registered at 10121 PINE AVE, TRUCKEE, CA 961614835 (Tel: 5305876011)

๐Ÿ“
Updated Practice Location May 06, 2026

Registered at 77 LINCOLN BLVD, LINCOLN, CA 956487422 (Tel: 9162582751)

๐Ÿ“
Updated Business Mailing Address May 06, 2026

Registered at 77 LINCOLN BLVD STE 1, LINCOLN, CA 956487422 (Tel: 9162582751)

๐ŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) May 06, 2026

Physician Assistant

โœ…
NPI Profile Active January 02, 2022

NPI status registered as active in NPPES database

๐Ÿ“
Practice Location (Initial Record) January 02, 2022

Registered at 1905 STONERIDGE DR, VERDI, NV 894398105 (Tel: 5304143723)

๐Ÿ“
Business Mailing Address (Initial Record) January 02, 2022

Registered at PO BOX 812, VERDI, NV 894390812

๐Ÿ‘ค
Provider Name / Credentials (Initial Record) January 02, 2022

Recorded as MACKENZIE REDNER

๐ŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) January 02, 2022

Student in an Organized Health Care Education/Training Program

๐ŸŸข
Initial NPI Registration & Enumeration January 02, 2022

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1700547726
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 02, 2022
Last Update: August 04, 2026
Sole Proprietor: No

Other Physician Assistants in Lincoln

Healthcare providers in Lincoln

Mailing Address

10121 Pine Ave

Truckee, CA 961614835

Phone: 5305876011

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.