Diana Lee Mackensen, FNP-C - Medicare Nurse Practitioner in Willoughby, OH

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Diana Lee Mackensen, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Willoughby, Ohio. She graduated from nursing school in 2017 and has 9 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Axelix Health Consulting Inc and her current practice location is 36060 Euclid Ave, Willoughby, Ohio. You can reach out to her office (for appointments etc.) via phone at (440) 953-9600.

Diana Lee Mackensen is licensed to practice in Ohio (license number APRN.CNP.021979) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1629575329.

Contact Information

Diana Lee Mackensen, FNP-C
36060 Euclid Ave,
Willoughby, OH 44094-4656
(440) 953-9600
Not Available

Map and Direction




Provider's Profile

Full NameDiana Lee Mackensen
GenderFemale
SpecialityNurse Practitioner
Experience9 Years
Location36060 Euclid Ave, Willoughby, Ohio
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Diana Lee Mackensen graduated from nursing school in 2017
  NPI Data:
  • NPI Number: 1629575329
  • Provider Enumeration Date: 04/09/2018
  • Last Update Date: 04/09/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 0446506356
  • Enrollment ID: I20180709000593

Medical Identifiers

Medical identifiers for Diana Lee Mackensen such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1629575329NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family APRN.CNP.021979 (Ohio)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Lake HealthConcord, OHHospital
University Hospitals Geneva Medical CenterGeneva, OHHospital
Ashtabula County Medical CenterAshtabula, OHHospital
University Hospitals Of ClevelandCleveland, OHHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Axelix Health Consulting Inc90322437794

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Diana Lee Mackensen allows following entities to bill medicare on her behalf.
Entity NameLake Hospital System, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1952339996
PECOS PAC ID: 6002713922
Enrollment ID: O20031217000963
Entity NameAxelix Health Consulting Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1578874541
PECOS PAC ID: 9032243779
Enrollment ID: O20100817000158

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Diana Lee Mackensen is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Diana Lee Mackensen, FNP-C
5699 Charmar Dr,
Mentor, OH 44060-1902

Ph: (440) 749-9456		Diana Lee Mackensen, FNP-C
36060 Euclid Ave,
Willoughby, OH 44094-4656

Ph: (440) 953-9600

Reviews and Comments


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Samantha C Cole,
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Robert William Jonath, NP-C
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Alexandria Uher, FNP
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Practice Location: 35717 Euclid Ave, Willoughby, OH 44094
Phone: 440-449-1540    
Jaquina Ross,
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Practice Location: 35900 Euclid Ave, Willoughby, OH 44094
Phone: 440-953-3000    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.