Makenzie Jane Hilgenberg, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA9115635 Issued in FL

Practice address

18956 N Dale Mabry Hwy Ste 102
Lutz, FL 33548-4915

Phone

(813) 948-8597

Fax

(813) 949-5919

NPI assigned

Feb 28, 2022

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 identifiers 1

Other names 1

• Makenzie Jane Fish Former name

Medicare fee-for-service enrollment

Enrolled in FL

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

Specialty

Physician Assistant

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Premier Medical Associates All Florida LLCGroup PAC ID 2365418019, 10 clinicians

Premier Medical Associates of Florida Healthcare, PAGroup PAC ID 6800200940, 64 clinicians

Wellmed Medical Management of Florida IncGroup PAC ID 3971678558, 158 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• St Josephs Hospital Hospital, Tampa, FL, CCN 100075
• Tampa General Hospital Hospital, Tampa, FL, CCN 100128

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Networks

• Freedom Health HMO Network
• Optimum HealthCare HMO Network

Interoperability endpoints

• Direct secure messaging: makenzie.hilgenberg@wellmed.eclinicaldirectplus.com

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.

• Premier Medical Associates All Florida, LLC

  • Internal Medicine Physician
  • The Villages, FL
  • NPI 1093829442
  Medicare reassignment Care Compare group NPD
• Premier Medical Associates of Florida Healthcare, PA

  • Internal Medicine Physician
  • The Villages, FL
  • NPI 1023612827
  Medicare reassignment Care Compare group NPD
• Wellmed Medical Management of Florida Inc

  • Family Medicine Physician
  • Port St Lucie, FL
  • NPI 1033395397
  Medicare reassignment Care Compare group
• Premier Medical Associates of Florida LLC

  • Internal Medicine Physician
  • The Villages, FL
  • NPI 1366046179
  Medicare reassignment NPD
• Premier Specialty Alliance Inc

  • Internal Medicine Physician
  • The Villages, FL
  • NPI 1477970606
  Medicare reassignment NPD
• Premier Urgent Care of the Villages LLC

  • Urgent Care Clinic/Center
  • The Villages, FL
  • NPI 1588983837
  Medicare reassignment NPD
• Premier Specialty Care LLC

  • Internal Medicine Physician
  • The Villages, FL
  • NPI 1386404127
  Medicare reassignment
• GMS Florida West Coast Inc

  • Family Medicine Physician
  • Tampa, FL
  • NPI 1184681355
  NPD
• Premier Medical Associates of Florida LLC

  • Clinical Laboratory Director (Non-physician)
  • Ocala, FL
  • NPI 1417475872
  NPD

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

• Florida Health Sciences Center Inc

  • General Acute Care Hospital
  • Tampa, FL
  • NPI 1235196510
  Care Compare affiliation
• St. Joseph'S Hospital, Inc.

  • General Acute Care Hospital
  • Tampa, FL
  • NPI 1346519816
  Care Compare affiliation
• St. Joseph'S Hospital, Inc.

  • General Acute Care Hospital
  • Tampa, FL
  • NPI 1881632818
  Care Compare affiliation

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

{
    "created_epoch": "1646006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698105600000",
    "number": "1215683255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18956 N DALE MABRY HWY STE 102",
            "city": "LUTZ",
            "state": "FL",
            "postal_code": "335484915",
            "telephone_number": "813-948-8597",
            "fax_number": "813-949-5919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18956 N DALE MABRY HWY STE 102",
            "city": "LUTZ",
            "state": "FL",
            "postal_code": "335484915",
            "telephone_number": "813-948-8597",
            "fax_number": "813-949-5919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HILGENBERG",
        "first_name": "MAKENZIE",
        "middle_name": "JANE",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-02-28",
        "last_updated": "2023-10-24",
        "certification_date": "2023-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9115635",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PA-C LICENSE NUMBER",
            "identifier": "PA9115635",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MAKENZIE",
            "last_name": "FISH",
            "middle_name": "JANE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Hillary Millicent Heyliger, L.M.T.
• Dale A. Hicks, PH.D.
• Higgins Wellness Center LLC
• Harrison Higgins, DC
• James T Highsmith, MD, MS
• Jamel Hill, MD
• Hillsborough Extended Care, LLC
• Huy P Ho, PHARM.D.
• Robert Hochberg, DDS
• Kiara Hodge

• Physician Assistant in Lutz, FL
• Providers in Lutz, FL by specialty
• Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2023; 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.