Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum
Mackenzie Moore, PA
Physician Assistant in Fredonia, NY · enumerated 2026.
Data current as of Jul 13, 2026 · sourced from CMS NPPES
National Provider Identifier
1154244465
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Registry record
Entity type Individual (Type 1)
Name Mackenzie Moore
Credential PA
Sex Female
Practice address 3780 Eagle St, Fredonia, NY, 14063
Phone (716) 672-3030
Enumeration date Aug 3, 2026
Last updated in NPPES Aug 3, 2026
Taxonomy & licenses
363A00000X Physician Assistant Physician Assistants & Advanced Practice Nursing Providers · License 036065-01 (NY) Primary
PA · Physician Assistant: A licensed clinician who practices medicine in collaboration with physicians, trained in a graduate PA program.
About the PA credential
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.
Frequently asked questions
Where does Mackenzie Moore practice?
The practice location on file with NPPES is in Fredonia, NY. Providers can have multiple locations; NPPES lists the primary practice address.
What is the NPI number for Mackenzie Moore?
The National Provider Identifier (NPI) for Mackenzie Moore is 1154244465, a Type 1 (individual) record in the CMS NPPES registry.
Other providers at this practice address
Browse all →Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2026-08-03.