Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Hannah Mackenzie

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1720691652

Hannah Mackenzie is a Physician Assistant in Broomfield, Colorado. Qualified in 2022, 4 years ago. Practices with J Michael King MD PC, a 13-clinician group and accepts Medicare assignment. Licensed in Colorado.

Years since qualifying
4
Licensed in
CO
In the registry since
2020
Specialties on file
2
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Practice location Address checks out

403 Summit Blvd Unit 204
Broomfield, CO 80021-8253
Phone: (720) 401-2139
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA.0007580 (CO)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1720691652
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 29, 2020
Last updated in NPPESJuly 14, 2023
Certification dateJuly 14, 2023
Mailing address403 Summit Blvd Unit 204, Broomfield, CO 80021-8253

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice J Michael King Md Pc — 13 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Broomfield