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

Mackenzie Lynn Roth, PA

Individual provider Medical Physician Assistant · NPI 1831765759

Mackenzie Lynn Roth, PA is a Physician Assistant in Hillsboro, Missouri. Qualified in 2021, 5 years ago. Practices with Mercy Clinic East Communities, a 573-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Missouri.

Years since qualifying
5
Licensed in
MO
In the registry since
2021
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

See every abbreviation used in this directory →

Practice location Address checks out

5194 Jeremiah Blvd
Hillsboro, MO 63050-5815
Phone: (636) 543-2328
Fax: (636) 543-2329
Show map & directions

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

Additional practice locations (1)

  • 255 Boderman, Bloomsdale, MO 63627-9099 — (573) 483-2929

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 2021010020 (MO)

Record details

NPI number1831765759
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedJune 1, 2021
Last updated in NPPESJune 4, 2024
Certification dateJune 4, 2024

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Mercy Clinic East Communities — 573 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

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