Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1588420475 Individual Practitioner Female Practitioner

Mackenzie Jule Walters , PA-C

Physician Assistant • Fort Worth, TX

Professional Overview & Biography Verified Profile Summary

Mackenzie Walters, PA-C is a registered healthcare professional specializing in Physician Assistant in Fort Worth, TX. Practice services are available at 1500 COOPER ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1500 Cooper St

Fort Worth, TX 761042710

Telephone 6828852140
Fax 8173322506
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Fort Worth, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.1 Yrs
State Avg: 13.9 Yrs
Regional Practice Density
604 Specialists

Practicing in Fort Worth, TX (11140 Statewide)

Telehealth Adoption Rate
13.2% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2024-06-13
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License TX PA17699

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

35 Associated Practitioners
Gregory Barker

Pediatrics - Pediatric Cardiology

NPI 1003081308
Janice Randel , CPNP

Nurse Practitioner - Pediatrics

NPI 1023096963

Certified Pediatric Nurse Practitioner

Dr. Susan Hess , MD

Pediatrics - Pediatric Cardiology

NPI 1073606158

Doctor of Medicine (M.D.)

Dr. Bethany Runkel , MD

Pediatrics - Pediatric Cardiology

NPI 1073933883

Doctor of Medicine (M.D.)

Lisa Moreland , APRN, PNP-AC

Nurse Practitioner - Acute Care

NPI 1245050996

Advanced Practice Registered Nurse, PNPAC

Nicole Sabia , RD, LD

Dietitian, Registered - Nutrition, Pediatric

NPI 1275998643

Registered Dietitian, Licensed Dietitian

Career & Practice History Timeline

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

10 Historical Events
📍
Updated Practice Location June 13, 2024

Registered at 1500 COOPER ST, FORT WORTH, TX 761042710 (Tel: 6828852140)

📍
Updated Business Mailing Address June 13, 2024

Registered at PO BOX 733784, DALLAS, TX 753733784 (Tel: 6828856483)

👤
Provider Name / Credentials Updated June 06, 2024

Recorded as MACKENZIE WALTERS, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 07, 2024

Physician Assistant (License #PA17699 in TX)

NPI Profile Active February 27, 2024

NPI status registered as active in NPPES database

📍
Updated Practice Location February 27, 2024

Registered at 801 7TH AVE, FORT WORTH, TX 761042796 (Tel: 6828854341)

📍
Updated Business Mailing Address February 27, 2024

Registered at 200 W DAGGETT AVE APT 410, FORT WORTH, TX 761041295 (Tel: 2147734540)

👤
Provider Name / Credentials Updated February 27, 2024

Recorded as MACKENZIE CRUSE, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 27, 2024

Physician Assistant (License #PA17699 in TX)

🟢
Initial NPI Registration & Enumeration February 27, 2024

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1588420475
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 27, 2024
Last Update: June 13, 2024
Sole Proprietor: No

Mailing Address

Po Box 733784

Dallas, TX 753733784

Phone: 6828856483

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.