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

Mackenzie Paige Moler

Individual provider Plastic Surgery Physician · NPI 1780386698

Mackenzie Paige Moler is a Physician Assistant in Rockville, Maryland. Qualified in 2022, 4 years ago. Practices with Valley Physician Enterprise Inc, a 190-clinician group and accepts Medicare assignment. Licensed in Maryland.

Years since qualifying
4
Licensed in
MD
In the registry since
2023

Practice location Address checks out

6120 Executive Blvd Ste 250
Rockville, MD 20852-4933
Phone: (301) 468-5991
Show map & directions

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

Specialties & licences

Plastic Surgery Physician (primary) Taxonomy 208200000X · Licence C0008821 (MD)

Record details

NPI number1780386698
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMarch 22, 2023
Last updated in NPPESMarch 22, 2023
Certification dateMarch 22, 2023

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 Valley Physician Enterprise Inc — 190 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations6 on file with Medicare

Other providers in Rockville