Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1679146302 Individual Practitioner Female Practitioner

Makenzie Diserio

Physician Assistant • Dekalb, IL

Professional Overview & Biography Verified Profile Summary

Makenzie Diserio is a registered healthcare professional specializing in Physician Assistant in Dekalb, IL. Practice services are available at 1212 S 2ND ST under active NPI credentials.

Frequently performed procedures and clinical services include emergency department visit for life threatening or functioning severity, emergency department visit with moderate level of medical decision making. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1212 S 2nd St

Dekalb, IL 601154435

Telephone 8722313162
Fax 7029771496
Associated Practice Facility / Clinic
🏢 Pine Acres Rehab & Living Ctr Facility NPI 1972522134

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Dekalb, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 12.0 Yrs
State Avg: 11.7 Yrs
Regional Practice Density
4 Specialists

Practicing in Dekalb, IL (4958 Statewide)

Telehealth Adoption Rate
25.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
87.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99285 Emergency department visit for life threatening or functioning severity
37 36 $1224.00 $149.38
99284 Emergency department visit with moderate level of medical decision making
26 26 $832.00 $105.98

Medical Specialties & State Licenses

CMS Verified: 2025-10-10
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License IL 085.009196

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Alysse Boyd

Physician Assistant

NPI 1003018763
Emily Smith , PA

Physician Assistant

NPI 1003232612

Physician Assistant

Dr. Jessica Bloomgarden , MD

Physical Medicine & Rehabilitation

NPI 1013158427

Doctor of Medicine (M.D.)

Rajdeep Sandhu , FNP-C

Nurse Practitioner - Family

NPI 1013473073

Family Nurse Practitioner (Certified)

Lyncee Barrett , FNP

Nurse Practitioner - Family

NPI 1013483296

Family Nurse Practitioner

Dr. Allison Williams , MD

Physical Medicine & Rehabilitation

NPI 1013967066

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events
📍
Updated Practice Location October 10, 2025

Registered at 1212 S 2ND ST, DEKALB, IL 601154435 (Tel: 8722313162)

📍
Updated Business Mailing Address October 10, 2025

Registered at PO BOX 74008272, CHICAGO, IL 606748272 (Tel: 7028990595)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 10, 2025

Physician Assistant (License #085.009196 in IL)

📍
Updated Practice Location February 22, 2024

Registered at 14 SAINT GERMAIN PL, SAINT CHARLES, IL 601754606 (Tel: 6309627965)

👤
Provider Name / Credentials Updated February 22, 2024

Recorded as MAKENZIE DISERIO

NPI Profile Active July 20, 2021

NPI status registered as active in NPPES database

📍
Updated Practice Location July 20, 2021

Registered at 5245 OLD RESERVE RD, OSWEGO, IL 605438011 (Tel: 6309627965)

📍
Updated Business Mailing Address July 20, 2021

Registered at 5245 OLD RESERVE RD, OSWEGO, IL 605438011

👤
Provider Name / Credentials Updated July 20, 2021

Recorded as MAKENZIE MASON

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 20, 2021

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration July 20, 2021

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Makenzie Diserio. Be the first to share your experience!

Sign in to leave a review for Makenzie Diserio

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1679146302
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 20, 2021
Last Update: October 10, 2025
Sole Proprietor: Yes

Mailing Address

Po Box 74008272

Chicago, IL 606748272

Phone: 7028990595

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.