Active NPI
Kim C Mackey, MD
- Obstetrics & Gynecology Physician
- Marshfield, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 43887
- Practice address
- 1000 N Oak Ave
Marshfield, WI 54449-5703 - Phone
- (715) 387-5511
- NPI assigned
- Mar 17, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 43887 | WI | Primary |
| Obstetrics & Gynecology Physician | 207V00000X | ME180291 | FL | |
| Obstetrics & Gynecology Physician | 207V00000X | MD61604924 | WA | |
| Hospitalist Physician | 208M00000X | MD61604924 | WA |
Addresses
Primary practice location
1000 N Oak Ave
Marshfield, WI 54449-5703
Mailing address
1700 Tuttle St
Baraboo, WI 53913-3319
Phone (608) 355-3800
Other practice location 1
22 Roulston Rd
Windham, NH 03087-1209
Phone (608) 575-4519
Other practice location 2
400 S 43rd St
Renton, WA 98055-5714
Phone (425) 690-1000
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285603431 | Medicaid | WI | |
| 2298975 | Medicaid | WA |
Electronic endpoints 5
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | KMACKEY261561@DIRECT-EHR-SSMHC.COM | Direct | Southwest Health Center, Inc |
| FHIR URL | https://fhir.ssmhc.com/fhir/api/FHIR/DSTU2/ | Other | |
| Direct Messaging Address | kmackey261561@direct-ehr-ssmhc.com | Direct | |
| Direct Messaging Address | kmackey261561@direct-ehr-ssmhc.com | Direct | |
| FHIR URL | https://fhir.ssmhc.com/fhir/api/FHIR/DSTU2/ | Other |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI, MN, WA, NJ, WV, MT, FL, IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 8
Care Compare profile
Medicare Care Compare- Specialty
- Obstetrics/Gynecology
- Education
- Other, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2500 Hospital Dr
Martinsburg, WV 25401-3402
Phone (304) 260-1443
400 S 43Rd St
Renton, WA 98055-5714
Phone (425) 228-3450
801 N 29TH St
Billings, MT 59101-0905
Phone (406) 238-2500
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME180291 | FL | MD | Obstetrics & Gynecology Physician |
| 43887 | WI | MD | Obstetrics & Gynecology Physician |
| MD61604924 | WA | MD | Hospitalist Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| OB Hospitalist Services New Jersey, PA | Obstetrics & Gynecology | Current | Accepting new patients |
| Centracare Clinic | Current | Accepting new patients | |
| Dean Health Systems, Inc | Hospitalist | Current | Accepting new patients |
| Froedtert &the Medical College of Wisconsin Community Physicians, Inc. | Current | Accepting new patients | |
| Southwest Health Center, Inc. | Current | Accepting new patients | |
| City Hospital Inc | Current | Accepting new patients | |
| Obhg Wisconsin, S.C. | Obstetrics & Gynecology | Current | Accepting new patients |
| City Hospital, Inc. | Obstetrics & Gynecology | Current | Accepting new patients |
| Obhg Washington, PC | Obstetrics & Gynecology | Current | Accepting new patients |
| Southwest Health Center, Inc | Current | Accepting new patients | |
| Reedsburg Area Medical Center, Inc. | Current | Accepting new patients | |
| Dean Health Systems, Inc. | Current | Accepting new patients | |
| Billings Clinic | Current | Accepting new patients | |
| Billings Clinic | Current | Accepting new patients | |
| Centracare Clinic | Current | Accepting new patients | |
| Froedtert &the Medical College of Wisconsin Community Physicians, Inc. | Current | Accepting new patients | |
| Billings Clinic | Current | Accepting new patients | |
| Valley Medical Group-Renton | Hospitalist | Current | Accepting new patients |
| St Luke'S Methodist Hospital | Current | Accepting new patients | |
| Reedsburg Area Medical Center, Inc. | Current | Accepting new patients | |
| Reedsburg Area Medical Center Inc | Current | Accepting new patients | |
| Billings Clinic | Past | Accepting new patients | |
| St. Cloud Hospital | Past | Accepting new patients | |
| Centracare Clinic | Past | Accepting new patients | |
| Providence Health & Services-Wa | Past | Accepting new patients | |
| City Hospital, Inc | Past | Accepting new patients |
Locations (25 of 27)
1200 6th Ave N
Saint Cloud, MN 56303
Phone (320) 252-3342
801 N 29th St
Billings, MT 59101
Phone (406) 238-2210
2800 10th Ave N
Billings, MT 59101
Phone (406) 248-3290
1 Clara Maass Dr
Belleville, NJ 07109
Phone (973) 450-2008
718 Teaneck Rd
Teaneck, NJ 07666
Phone (201) 833-3232
1505 W Sherman Ave
Vineland, NJ 08360
Phone (856) 451-6600
777 Lowndes Hill Rd
Bldg 1
Greenville, SC 29607
Phone (864) 908-3736
16850 SE 272nd St
Ste 100
Covington, WA 98042
Phone (253) 395-1971
1700 13th St
Everett, WA 98201
Phone (425) 252-0895
400 S 43rd St
Renton, WA 98055
Phone (425) 228-3450
1800 NW Myhre Rd
Silverdale, WA 98383
Phone (360) 337-8800
1626 Tuttle St
Baraboo, WI 53913
Phone (608) 355-2033
1700 Tuttle St
Baraboo, WI 53913
Phone (608) 355-3800
W168N11237 Western Ave
Germantown, WI 53022
Phone (262) 253-5060
600 Highland Ave
Madison, WI 53792
Phone (608) 263-0325
N74W12501 Leatherwood Ct
Menomonee Falls, WI 53051
Phone (414) 454-4744
W180N8000 Town Hall Rd
Menomonee Falls, WI 53051
Phone (262) 255-2500
2323 N Lake Dr
Milwaukee, WI 53211
Phone (414) 291-1000
5000 W Chambers St
Milwaukee, WI 53210
Phone (414) 447-2089
515 22nd Ave
Monroe, WI 53566
Phone (608) 324-1000
1400 Eastside Rd
Platteville, WI 53818
Phone (608) 342-4712
1450 Eastside Rd
Platteville, WI 53818
Phone (608) 348-2331
2000 N Dewey Ave
Reedsburg, WI 53959
Phone (608) 524-6487
9200 W Wisconsin Ave
Wauwatosa, WI 53226
Phone (414) 259-3000
1155 N Mayfair Rd
Wauwatosa, WI 53226
Phone (414) 955-5990
Interoperability endpoints
- kmackey261561@direct-ehr-ssmhc.com
- kmackey264027@direct.unitypoint.org
- kmackey836864@direct.centracare.com
Organizations & group practices 36
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.
-
- Emergency Care Clinic/Center
- Billings, MT
- NPI 1326104845
-
- Anesthesiology Physician
- Martinsburg, WV
- NPI 1942503164
-
- Internal Medicine Physician
- Menomonee Falls, WI
- NPI 1568787448
-
- Critical Access Hospital
- Reedsburg, WI
- NPI 1891796710
-
- Critical Access Hospital
- Platteville, WI
- NPI 1831279793
-
- Multi-Specialty Clinic/Center
- St Cloud, MN
- NPI 1043212665
-
- Obstetrics & Gynecology Physician
- Greenville, SC
- NPI 1801169966
NJ
-
- Obstetrics & Gynecology Physician
- Silverdale, WA
- NPI 1962729525
-
- Clinic/Center
- Beaver Dam, WI
- NPI 1972188555
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142553600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1780012800000",
"number": "1285603431",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1700 TUTTLE ST",
"city": "BARABOO",
"state": "WI",
"postal_code": "539133319",
"telephone_number": "608-355-3800",
"fax_number": "608-355-7001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 N OAK AVE",
"city": "MARSHFIELD",
"state": "WI",
"postal_code": "544495703",
"telephone_number": "715-387-5511"
}
],
"practiceLocations": [
{
"address_1": "22 Roulston Rd",
"address_purpose": "LOCATION",
"city": "Windham",
"state": "NH",
"postal_code": "030871209",
"country_code": "US",
"telephone_number": "608-575-4519",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "400 S 43rd St",
"address_purpose": "LOCATION",
"city": "Renton",
"state": "WA",
"postal_code": "980555714",
"country_code": "US",
"telephone_number": "425-690-1000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MACKEY",
"first_name": "KIM",
"middle_name": "C",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-17",
"last_updated": "2026-05-29",
"certification_date": "2026-05-29",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "WI",
"license": "43887",
"primary": true
},
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "FL",
"license": "ME180291",
"primary": false
},
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "WA",
"license": "MD61604924",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "WA",
"license": "MD61604924",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1285603431",
"state": "WI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2298975",
"state": "WA"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "KMACKEY261561@DIRECT-EHR-SSMHC.COM",
"affiliation": "Y",
"affiliationName": "Southwest Health Center, Inc",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "KMACKEY261561@DIRECT-EHR-SSMHC.COM",
"address_1": "1450 Eastside Rd",
"city": "Platteville",
"state": "WI",
"country_code": "US",
"postal_code": "538189800",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://fhir.ssmhc.com/fhir/api/FHIR/DSTU2/",
"affiliation": "N",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "FHIR API",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CCD",
"address_1": "1626 Tuttle St",
"city": "Baraboo",
"state": "WI",
"country_code": "US",
"postal_code": "539131501",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "kmackey261561@direct-ehr-ssmhc.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "kmackey261561@direct-ehr-ssmhc.com",
"address_1": "1626 Tuttle St",
"city": "Baraboo",
"state": "WI",
"country_code": "US",
"postal_code": "539131501",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "kmackey261561@direct-ehr-ssmhc.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "kmackey261561@direct-ehr-ssmhc.com",
"address_1": "1700 Tuttle St.",
"city": "Baraboo",
"state": "WI",
"country_code": "US",
"postal_code": "539139800",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://fhir.ssmhc.com/fhir/api/FHIR/DSTU2/",
"affiliation": "N",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "FHIR API",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CCD",
"address_1": "1700 Tuttle St.",
"city": "Baraboo",
"state": "WI",
"country_code": "US",
"postal_code": "539139800",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Marshfield, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2026; 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.