Individual provider Active NPI

Mackenzie Bartz, PA-C

  • Physician Assistant
  • Redmond, OR
National Provider Identifier
1225619141
Registry record updated Aug 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA2022-0120 Issued in NM
Practice address
1253 NW Canal Blvd
Redmond, OR 97756-1334
Phone
(541) 526-6635
Fax
(541) 526-6636
NPI assigned
Apr 21, 2021
Last updated
Aug 1, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2025

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 PA2022-0120 NM Primary

Addresses

Primary practice location

1253 NW Canal Blvd
Redmond, OR 97756-1334

Mailing address

5635 S Nations Way
Holladay, UT 84121-1338
Phone (503) 929-0811

Other practice location 1

1938 S Texas St
Salt Lake City, UT 84108-3232
Phone (503) 929-0811

Other names 1

  • Kenzi Bartz Other name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mbartz219463@secure.stcharleshealthcare.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM, TX, WA, OR4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20230111000255 NM Practitioner - Physician Assistant 8921478801 Reassigns benefits to 1 organization
I20230410002446 TX Practitioner - Physician Assistant 8921478801 Reassigns benefits to 1 organization
I20231005001223 WA Practitioner - Physician Assistant 8921478801 Reassigns benefits to 2 organizations
I20250702001795 OR Practitioner - Physician Assistant 8921478801 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
University of Utah School of Medicine, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Charles Health System IncGroup PAC ID 8729111513, 379 clinicians

Practice addresses (Care Compare)

211 NW Larch Ave
Family Care
Redmond, OR 97756-1357
Phone (541) 548-2164

61250 SE Coombs PL
Family Care Clin
Bend, OR 97702-3704
Phone (541) 706-5935

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
9435AZMDPhysical Therapist
PA2022-0120NMMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
St. Charles Health System, Inc. CurrentSince Jul 28, 2025 Accepting new patients
St. Charles Health System, Inc. CurrentSince Jul 28, 2025 Accepting new patients
St. Charles Health System, Inc. CurrentSince Jan 1, 2026 Accepting new patients
Gila River Health Care Corporation CurrentSince Mar 20, 2023 Accepting new patients
Northwest Acute Care Specialists PC CurrentSince Jul 1, 2025 Accepting new patients
Gila River Health Care CurrentSince Mar 20, 2023 Accepting new patients
St. Charles Health System, Inc. CurrentSince Jul 28, 2025 Accepting new patients
St. Charles Health System, Inc. CurrentSince Jul 28, 2025 Accepting new patients
Tri-State Memorial Hospital CurrentSince Sep 30, 2023 Accepting new patients
Tri-State Memorial Hospital CurrentSince Sep 30, 2023 Accepting new patients
Tri-State Memorial Hospital Past Accepting new patients
St. Charles Health System, Inc. Past Accepting new patients
St. Charles Health System, Inc. Past Accepting new patients

Locations

29358 Network Pl
Chicago, IL 60673

61250 SE Coombs Pl
Bend, OR 97702
Phone (541) 706-5930

470 NE A St
Madras, OR 97741
Phone (541) 383-3668

2801 N Gantenbein Ave
Portland, OR 97227
Phone (503) 413-2200

384 SE Combs Flat Rd
Prineville, OR 97754
Phone (541) 383-3668

1253 NW Canal Blvd
Redmond, OR 97756
Phone (541) 548-8131

211 NW Larch Ave
Redmond, OR 97756
Phone (541) 548-2164

1221 Highland Ave
Clarkston, WA 99403
Phone (509) 751-0312

Interoperability endpoints

  • Direct secure messaging: mackenzie.bartz.1@17650.direct.athenahealth.com

Organizations & group practices 19

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

View all 19

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1618963200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754006400000",
    "number": "1225619141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5635 S NATIONS WAY",
            "city": "HOLLADAY",
            "state": "UT",
            "postal_code": "841211338",
            "telephone_number": "503-929-0811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1253 NW CANAL BLVD",
            "city": "REDMOND",
            "state": "OR",
            "postal_code": "977561334",
            "telephone_number": "541-526-6635",
            "fax_number": "541-526-6636"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1938 S Texas St",
            "address_purpose": "LOCATION",
            "city": "Salt Lake City",
            "state": "UT",
            "postal_code": "841083232",
            "country_code": "US",
            "telephone_number": "503-929-0811",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BARTZ",
        "first_name": "MACKENZIE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-21",
        "last_updated": "2025-08-01",
        "certification_date": "2025-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NM",
            "license": "PA2022-0120",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mbartz219463@secure.stcharleshealthcare.org",
            "affiliation": "N",
            "address_1": "1253 NW Canal Blvd",
            "city": "Redmond",
            "state": "OR",
            "country_code": "US",
            "postal_code": "977561334",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "KENZI",
            "last_name": "BARTZ",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Redmond, OR

Sources for this page

Verify at the official NPI Registry.