Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mackenzie Jo Ela, PA-C

Individual provider Physician Assistant · NPI 1609628197

Mackenzie Jo Ela, PA-C is a Physician Assistant in Marietta, Ohio. Qualified in 2024, 2 years ago. Practices with University Primary Care Practices Inc, a 1,073-clinician group and accepts Medicare assignment.

Years since qualifying
2
In the registry since
2024
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

217 Ingleside Ave Apt A
Marietta, OH 45750-3477
Phone: (503) 410-9499
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1609628197
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedApril 5, 2024
Last updated in NPPESApril 5, 2024
Certification dateApril 5, 2024

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice University Primary Care Practices Inc — 1073 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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