Active NPI
Mackenzie Hopkins, PA-C
- Physician Assistant
- Rock Island, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 079973
- 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, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
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
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 100
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 079973 | IA | MD | Physician Assistant |
| 085-005693 | IL | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St Luke's Methodist Hospital | Current | Accepting new patients | |
| Genesis Health System | Current | 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
- mhopkins198803@direct.edward.org
- 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.
-
- Surgery Physician
- Davenport, IA
- NPI 1528616901
-
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Downers Grove, IL
- NPI 1043269160
IA
-
- Emergency Medicine Physician
- Rock Island, IL
- NPI 1568414134
-
- General Acute Care Hospital
- Cedar Rapids, IA
- NPI 1083708226
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Trinity Rock Island
- General Acute Care Hospital
- Rock Island, IL
- NPI 1316047632
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2024; 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.