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

Mackenzie Ann Diekmann Stice, MD

Individual provider Hospitalist Physician · NPI 1629632799

Mackenzie Ann Diekmann Stice, MD is a Pediatric Medicine in Saint Paul, Minnesota. Graduated from University of Minnesota Medical School in 2019, 7 years ago. Practices with Banner-University Medical Group, a 1,071-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Indiana.

Years since qualifying
7
Trained at
University of Minnesota Medical School
Licensed in
IN
In the registry since
2019
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

2155 Ford Pkwy Ste A
Saint Paul, MN 55116-2799
Phone: (651) 696-5000
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 2001 W 86th St, Indianapolis, IN 46260-1902 — (317) 338-6815
  • 420 Delaware St Se, Minneapolis, MN 55455-0341 — (612) 624-0990

Specialties & licences

Hospitalist Physician (primary) Taxonomy 208M00000X · Licence 01089674A (IN)
Pediatrics Physician Taxonomy 208000000X · Licence 01089674A (IN)

Record details

NPI number1629632799
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorYes
NPI enumeratedApril 24, 2019
Last updated in NPPESJuly 28, 2025
Certification dateJuly 28, 2025

Medicare enrollment

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

Medicare specialtyPEDIATRIC MEDICINE
Also practisesINTERNAL MEDICINE
Medical schoolUNIVERSITY OF MINNESOTA MEDICAL SCHOOL
Graduated 2019 (7 years in practice)
Group practice Banner-University Medical Group — 1071 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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