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Dr. Mackenzie Lynne Nesbit Deane , MD

Pediatrics β€’ Vancouver, WA

Active NPI 1962961185 Individual Practitioner Female Practitioner
Practice location in NPPES

505 Ne 87th Ave Ste 120
Vancouver, WA 986641965

Call 3608921635 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

505 Ne 87th Ave Ste 120

Vancouver, WA 986641965

Telephone 3608921635
Fax 3608923146
Organization at the Same NPPES Address or Phone
Evergreen Pediatric Clinic Ps Facility NPI 1144343773

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 Portland, OR. See the list

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

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

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

2019

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 Vancouver and Washington

68 active clinicians are listed under Pediatrics with a practice address in Vancouver, WA (1,753 in Washington).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Vancouver

1.5% of these 68 clinicians have the CMS telehealth indicator.

4.4% of these 68 clinicians are listed by CMS as accepting Medicare assignment.

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: 2026-02-17
Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

License # reported to NPPES WA MD61428941

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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: Washington State Department of Health Provider Lookup.
Look Up on State Board Site

Secondary Practice Locations

3181 Sw Sam Jackson Road

Portland, OR 97239

Phone: 5034948211

Career & Practice History Timeline

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

10 Historical Events
πŸ“
Updated Practice Location February 17, 2026

Registered at 505 NE 87TH AVE STE 120, VANCOUVER, WA 986641965 (Tel: 3608921635)

πŸ“
Updated Business Mailing Address February 17, 2026

Registered at 505 NE 87TH AVE STE 120, VANCOUVER, WA 986641965 (Tel: 3608921635)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) February 17, 2026

Pediatrics (license number reported to NPPES: WA MD61428941)

πŸ‘€
Provider Name / Credentials Updated May 31, 2022

Recorded as MACKENZIE NESBIT DEANE, MD

βœ…
NPI Profile Active March 18, 2019

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) March 18, 2019

Registered at 3181 SW SAM JACKSON ROAD, PORTLAND, OR 97239 (Tel: 5034948211)

πŸ“
Business Mailing Address (Initial Record) March 18, 2019

Registered at 3181 SW SAM JACKSON ROAD, PORTLAND, OR 97239 (Tel: 5034948211)

πŸ‘€
Provider Name / Credentials (Initial Record) March 18, 2019

Recorded as MACKENZIE DEANE, MD

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) March 18, 2019

Student in an Organized Health Care Education/Training Program

🟒
Initial NPI Registration & Enumeration March 18, 2019

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1962961185
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 18, 2019
Last Update: February 17, 2026
Sole Proprietor: No

Other Pediatrics Specialists in Vancouver

Healthcare providers in Vancouver

Mailing Address

505 Ne 87th Ave Ste 120

Vancouver, WA 986641965

Phone: 3608921635

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.