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

Mackenzie Shallenberger, PA

Individual provider Physician Assistant · NPI 1942573001

Mackenzie Shallenberger, PA is a Physician Assistant in Pittsfield, Illinois. Qualified in 2011, 15 years ago. Practices with Blessingcare Corporation, a 13-clinician group and works from 2 locations. Licensed in Illinois.

Years since qualifying
15
Licensed in
IL
In the registry since
2012
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

640 W Washington St
Pittsfield, IL 62363-1350
Phone: (217) 285-2113
Fax: (217) 277-3960
Show map & directions

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

Additional practice locations (1)

  • 2650 Warrenville Rd, Downers Grove, IL 60515-1748 — (630) 324-7900

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 085-004155 (IL)

Record details

NPI number1942573001
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedFebruary 20, 2012
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 2011 (15 years in practice)
Group practice Blessingcare Corporation — 13 clinicians
Accepts Medicare assignment Not indicated

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