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

McKinzie Eggers de Klerk, MD

Individual provider Family Medicine Physician · NPI 1922504604

McKinzie Eggers de Klerk, MD is a Family Practice in Pawtucket, Rhode Island. Graduated from State University of Ny Upstate Medical University in 2018, 8 years ago. Practices with Blackstone Valley Community Health Care Inc, a 48-clinician group and accepts Medicare assignment. Licensed in Rhode Island.

Years since qualifying
8
Trained at
State University of Ny Upstate Medical University
Licensed in
RI
In the registry since
2018
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

39 E Ave
Pawtucket, RI 02860-4003
Phone: (401) 312-9808
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence MD17959 (RI)
Family Medicine Physician Taxonomy 207Q00000X · Licence LP04412 (RI)

Record details

NPI number1922504604
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 2, 2018
Last updated in NPPESFebruary 19, 2026
Certification dateFebruary 19, 2026

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolSTATE UNIVERSITY OF NY UPSTATE MEDICAL UNIVERSITY
Graduated 2018 (8 years in practice)
Group practice Blackstone Valley Community Health Care Inc — 48 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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