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

Mackenzie Mattern

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1932662517

Mackenzie Mattern is a Family Practice in Bountiful, Utah. Graduated from Southern Illinois University School of Medicine in 2019, 7 years ago. Practices with Ihc Health Services Inc, a 3,947-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Utah.

Years since qualifying
7
Trained at
Southern Illinois University School of Medicine
Licensed in
UT
In the registry since
2019
Specialties on file
2
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Practice location Address checks out

Student / training record This NPI belongs to someone enrolled in a health care training programme. It carries no licence and no practice of its own, so no address or phone number is published for it.

Bountiful, UT

No coordinates on file. Search this address in Google Maps

Additional practice locations (2)

  • 133 Benmore Dr Ste 200, Winter Park, FL 32792-4111 — (407) 646-7070
  • 815 Main St Ste C, Peoria, IL 61602-1080 — (309) 672-4977

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 13451187-1205 (UT)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1932662517
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedApril 10, 2019
Last updated in NPPESFebruary 23, 2024
Certification dateAugust 14, 2023

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolSOUTHERN ILLINOIS UNIVERSITY SCHOOL OF MEDICINE
Graduated 2019 (7 years in practice)
Group practice Ihc Health Services Inc — 3947 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Bountiful