Makenzie Kinder, MSPAS, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA2563 Issued in KY

Practice address

401 Commerce Cir
Mt Sterling, KY 40353-7815

Phone

(859) 498-5243

Fax

(859) 498-5396

NPI assigned

Jul 15, 2019

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Makenzie Waltermire Former name

Medicare fee-for-service enrollment

Enrolled in KY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/21269/brand/3/csg/1/fhir/r4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Rockcastle County Hospital, Inc.

  dba Rockcastle Regional Hospital and Respiratory Care Center

  • General Acute Care Hospital
  • Mount Vernon, KY
  • NPI 1104890714

  Physician Assistant

  Medicare reassignment NPD
• Lake Cumberland Regional Hospital LLC

  • Internal Medicine Physician
  • Somerset, KY
  • NPI 1861078685
  Medicare reassignment
• Lake Cumberland Regional Hospital LLC

  dba Lake Cumberland Surgical Associates

  • Family Nurse Practitioner
  • Somerset, KY
  • NPI 1093092744
  NPD
• Morehead Pediatrics

  • Rural Health Clinic/Center
  • Morehead, KY
  • NPI 1710688809
  NPD (past)
• Morehead Pediatrics

  • Pediatrics Physician
  • Morehead, KY
  • NPI 1770231656

  Physician Assistant

  NPD (past)
• Mt. Sterling Pediatrics PSC

  • Rural Health Clinic/Center
  • Mt Sterling, KY
  • NPI 1356939235
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1563148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630540800000",
    "number": "1073165544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 COMMERCE CIR",
            "city": "MT STERLING",
            "state": "KY",
            "postal_code": "403537815",
            "telephone_number": "859-498-5243",
            "fax_number": "859-498-5396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 COMMERCE CIR",
            "city": "MT STERLING",
            "state": "KY",
            "postal_code": "403537815",
            "telephone_number": "859-498-5243",
            "fax_number": "859-498-5396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KINDER",
        "first_name": "MAKENZIE",
        "credential": "MSPAS, PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-15",
        "last_updated": "2021-09-02",
        "certification_date": "2021-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "KY",
            "license": "PA2563",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MAKENZIE",
            "last_name": "WALTERMIRE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kentucky Institute for Eye Health and Surgery (Ky Eye Institute)
• Kentucky Optical Express, Inc.
• Sidney Patrick Kibbey
• Madison Elizabeth Kidwell
• Jennifer Kiesling
• Brigitte Danielle King, MD
• Marlena King
• Hannah Kissick, OD
• Kevin L Knepper, D.C.
• Patty Knox

• Physician Assistant in Mt Sterling, KY
• Providers in Mt Sterling, KY by specialty
• Physician Assistant in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.