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

Mackenzie Elyse Bellmer, PHYSICIANASSISTANT

Individual provider Physician Assistant · NPI 1477441814

Mackenzie Elyse Bellmer, PHYSICIANASSISTANT is a Physician Assistant in Oklahoma City, Oklahoma. Qualified in 2025, 1 year ago. Practices with Integris Ambulatory Care Corporation, a 683-clinician group and accepts Medicare assignment. Licensed in Oklahoma.

Years since qualifying
1
Licensed in
OK
In the registry since
2025

Practice location Address checks out

3366 NW Expwy Ste 800
Oklahoma City, OK 73112-4458
Phone: (405) 948-0640
Show map & directions

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 5588 (OK)

Record details

NPI number1477441814
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHYSICIANASSISTANT
Sole proprietorNo
NPI enumeratedJune 25, 2025
Last updated in NPPESAugust 15, 2025
Certification dateAugust 15, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Integris Ambulatory Care Corporation — 683 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Oklahoma City