Individual provider Active NPI

Mackenzie Hopkins, PA-C

  • Physician Assistant
  • Rock Island, IL
National Provider Identifier
1306215934
Registry record updated Apr 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
079973 Issued in IA
Practice address
2560 24TH St Ste 201
Rock Island, IL 61201-5390
Phone
(309) 779-3111
NPI assigned
Sep 24, 2015
Last updated
Apr 25, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 079973 IA Primary
Physician Assistant 363A00000X 085-005693 IL

Addresses

Primary practice location

2560 24TH St Ste 201
Rock Island, IL 61201-5390

Mailing address

PO Box 153
Channahon, IL 60410-0153
Phone (630) 324-7900

Other practice location 1

1236 E Rusholme St Ste 150
Davenport, IA 52803-2433
Phone (563) 421-1000

Other practice location 2

1227 E Rusholme St
Davenport, IA 52803-2459
Phone (563) 421-1000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA, IL2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20151102001469 IA Practitioner - Physician Assistant 5890005904 Reassigns benefits to 3 organizations
I20151104002106 IL Practitioner - Physician Assistant 5890005904 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Genesis Health SystemGroup PAC ID 6103829338, 262 clinicians
Cardiac Surgery Associates SCGroup PAC ID 2860304102, 44 clinicians

Practice addresses (Care Compare)

1227 E Rusholme St
Davenport, IA 52803-2459

2701 17TH St
Rock Island, IL 61201-5351
Phone (309) 779-2750

3 Eire CT
Oak Park, IL 60302-2519
Phone (708) 763-6477

4700 E 56TH St
Davenport, IA 52807-2904

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.02 of 100Reported as group
Quality
89.92
Promoting interoperability
100
Improvement activities
40
Cost
78.23

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
079973IAMDPhysician Assistant
085-005693ILMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
St Luke's Methodist Hospital Current Accepting new patients
Genesis Health System CurrentSince Sep 1, 2024 Accepting new patients
Genesis Health System Past Accepting new patients

Locations

865 Lincoln Rd
Ste 100
Bettendorf, IA 52722
Phone (563) 355-1000

1227 E Rusholme St
Davenport, IA 52803
Phone (563) 324-8160

1236 E Rusholme St
Ste 150
Davenport, IA 52803
Phone (563) 421-3990

4700 E 56th St
Ste 100
Davenport, IA 52807
Phone (563) 383-2667

Interoperability endpoints

  • Direct secure messaging: mhopkins198803@direct.edward.org
  • Direct secure messaging: mhopkins308378@direct.unitypoint.org

Organizations & group practices 6

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.

Hospital & facility affiliations 1

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": "1443052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714003200000",
    "number": "1306215934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 153",
            "city": "CHANNAHON",
            "state": "IL",
            "postal_code": "604100153",
            "telephone_number": "630-324-7900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2560 24TH ST STE 201",
            "city": "ROCK ISLAND",
            "state": "IL",
            "postal_code": "612015390",
            "telephone_number": "309-779-3111"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1236 E Rusholme St Ste 150",
            "address_purpose": "LOCATION",
            "city": "Davenport",
            "state": "IA",
            "postal_code": "528032433",
            "country_code": "US",
            "telephone_number": "563-421-1000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1227 E Rusholme St",
            "address_purpose": "LOCATION",
            "city": "Davenport",
            "state": "IA",
            "postal_code": "528032459",
            "country_code": "US",
            "telephone_number": "563-421-1000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOPKINS",
        "first_name": "MACKENZIE",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-24",
        "last_updated": "2024-04-25",
        "certification_date": "2024-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IA",
            "license": "079973",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IL",
            "license": "085-005693",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rock Island, IL

Sources for this page

Verify at the official NPI Registry.