Makenzie Bishop

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

11917253-1206 Issued in UT

Practice address

110 W 1325 N Ste 200
Cedar City, UT 84721-8179

Phone

(435) 586-7676

Fax

(435) 586-2290

NPI assigned

Jul 5, 2020

Sex

Female

Sole proprietor

Yes

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.

• Cedar Ridge Family Medicine

  • Family Medicine Physician
  • Cedar City, UT
  • NPI 1740260504

  UT

  Medicare reassignment Care Compare group

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Ihc Health Services, Inc.

  • General Acute Care Hospital
  • St George, UT
  • NPI 1366452880

  Hospital

  Care Compare affiliation
• Ihc Health Services, Inc.

  • General Acute Care Hospital
  • Cedar City, UT
  • NPI 1538178801

  Hospital

  Care Compare affiliation

Specialty

Physician Assistant

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Cedar Ridge Family Medicine 14 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Intermountain Health Cedar City Hospital Hospital, Cedar City, UT, CCN 460007
• St. George Regional Hospital Hospital, St George, UT, CCN 460021

Medicare fee-for-service enrollment

Enrolled in UT

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

Interoperability endpoints

• Direct secure messaging: makenzie.bishop.1@22054.direct.athenahealth.com

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 26, 2021.

{
    "created_epoch": "1593907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611619200000",
    "number": "1164049201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 W 1325 N STE 200",
            "city": "CEDAR CITY",
            "state": "UT",
            "postal_code": "847218179",
            "telephone_number": "435-586-7676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 W 1325 N STE 200",
            "city": "CEDAR CITY",
            "state": "UT",
            "postal_code": "847218179",
            "telephone_number": "435-586-7676",
            "fax_number": "435-586-2290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BISHOP",
        "first_name": "MAKENZIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-07-05",
        "last_updated": "2021-01-26",
        "certification_date": "2021-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "UT",
            "license": "11917253-1206",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelly Beynon
• Joni D Bickley, LCSW
• Justin Earl Biggs, D.C.
• Travis John Bilanzich, D.O.
• Brooklyn Bishop
• Kirk Bjella, M.D.
• Tor Bjerga
• Ivori Leann Black
• Amy Jean Bleak, APRN, FNP-BC
• Brock Bleazard

• All providers in Cedar City, UT
• Physician Assistant in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.