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Dr. Mackenzie Rebecca Berry , DO

General Practice β€’ Tinker Afb, OK

Active NPI 1750020400 Individual Practitioner Female Practitioner
Practice location in NPPES

7050 Air Depot Blvd Ste 1094
Tinker Afb, OK 731458716

Call 4057342778 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

7050 Air Depot Blvd Ste 1094

Tinker Afb, OK 731458716

Telephone 4057342778
Organization at the Same NPPES Address or Phone
Oklahoma City Vamc Facility NPI 1598391716

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

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2019–2025.

Guide: How to read an Open Payments record

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.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

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, β€œDoes your provider accept Medicare as full payment?”

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

Compared with the same specialty in Tinker Afb and Oklahoma

2 active clinicians are listed under General Practice with a practice address in Tinker Afb, OK (133 in Oklahoma).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2024-03-27
General Practice Primary Specialty

NUCC Taxonomy Code: 208D00000X

License # reported to NPPES VA 0102208016

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

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: Oklahoma State Board of Medical Licensure.
Look Up on State Board Site

Clinicians Sharing This Practice Address or Phone

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

5 listed
Kristen Janssen , PA

Physician Assistant

NPI 1982679130

Physician Assistant

Dr. Nathaniel Rosol , MD

Military Health Care Provider

NPI 1598221434

Doctor of Medicine (M.D.)

Angela Schetter , APRN

Nurse Practitioner - Family

NPI 1154028371

Advanced Practice Registered Nurse

Dr. Jenna Tribull , MD

Emergency Medicine

NPI 1184253320

Doctor of Medicine (M.D.)

Brock Turpin , FNP-C

Nurse Practitioner

NPI 1710472493

Family Nurse Practitioner (Certified)

Career & Practice History Timeline

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

11 Historical Events
πŸ“
Updated Practice Location March 27, 2024

Registered at 7050 AIR DEPOT BLVD STE 1094, TINKER AFB, OK 731458716 (Tel: 4057342778)

πŸ“
Updated Business Mailing Address March 27, 2024

Registered at 10906 AIRMEN DR, CONVERSE, TX 781091400 (Tel: 3038033632)

πŸ‘€
Provider Name / Credentials Updated March 27, 2024

Recorded as MACKENZIE BERRY, DO

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) March 27, 2024

General Practice (license number reported to NPPES: VA 0102208016)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) October 23, 2022

Military Health Care Provider (license number reported to NPPES: VA 1750020400)

βœ…
NPI Profile Active June 01, 2022

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) June 01, 2022

Registered at 620 JOHN PAUL JONES CIR, PORTSMOUTH, VA 237082111 (Tel: 7579535000)

πŸ“
Business Mailing Address (Initial Record) June 01, 2022

Registered at 1600 GRANBY ST APT 353, NORFOLK, VA 235102652 (Tel: 3038033632)

πŸ‘€
Provider Name / Credentials (Initial Record) June 01, 2022

Recorded as MACKENZIE BERRY

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) June 01, 2022

Student in an Organized Health Care Education/Training Program

🟒
Initial NPI Registration & Enumeration June 01, 2022

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1750020400
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 01, 2022
Last Update: March 27, 2024
Sole Proprietor: No

Mailing Address

10906 Airmen Dr

Converse, TX 781091400

Phone: 3038033632

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.