Individual provider Active NPI

Makenzie Ann Orning, PA-C

  • Physician Assistant
  • Saint Paul, MN
National Provider Identifier
1114532256
Registry record updated Sep 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
14215 Issued in MN
Practice address
777 Raymond Ave
Saint Paul, MN 55114-1522
Phone
(651) 447-3755
NPI assigned
Sep 15, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 14215 MN Primary

Addresses

Primary practice location

777 Raymond Ave
Saint Paul, MN 55114-1522

Mailing address

18520 30TH PL N
Plymouth, MN 55447-1536
Phone (612) 759-0133

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
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

Enrollment IDStateProvider typePAC IDDetails
I20230314000251 MN Practitioner - Physician Assistant 5799158960 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Sasaki Medical LLCGroup PAC ID 3779879903, 21 clinicians

Practice addresses (Care Compare)

1919 University Ave W
Suite 100
Saint Paul, MN 55104-3479
Phone (651) 447-3755

777 Raymond Ave
Saint Paul, MN 55114-1522
Phone (651) 447-3755

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
14215MNMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Sasaki Medical LLC CurrentSince Nov 19, 2022 Accepting new patients
Sasaki Medical LLC Past Accepting new patients

Locations

705 5th St NW
Ste D
Bemidji, MN 56601
Phone (218) 444-7186

7831 Glenroy Rd
Ste 145
Minneapolis, MN 55439

2550 University Ave W
Ste 130N
Saint Paul, MN 55114

777 Raymond Ave
Saint Paul, MN 55114
Phone (651) 447-3455

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1600128000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664496000000",
    "number": "1114532256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18520 30TH PL N",
            "city": "PLYMOUTH",
            "state": "MN",
            "postal_code": "554471536",
            "telephone_number": "612-759-0133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "777 RAYMOND AVE",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551141522",
            "telephone_number": "651-447-3755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORNING",
        "first_name": "MAKENZIE",
        "middle_name": "ANN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-15",
        "last_updated": "2022-09-30",
        "certification_date": "2022-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MN",
            "license": "14215",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Paul, MN

Sources for this page

Verify at the official NPI Registry.