Kenneth Chandler McKenzie, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA728 Issued in WY

Practice address

1401 W 5TH St
Sheridan, WY 82801-2705

Phone

(307) 672-1161

Fax

(307) 672-2791

NPI assigned

Sep 29, 2014

Last updated

Oct 20, 2025By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in WY

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, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Big Horn Health NetworkGroup PAC ID 1254476484, 84 clinicians

Memorial Hospital of Sheridan CountyGroup PAC ID 2163405440, 90 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Sheridan Memorial Hospital Hospital, Sheridan, WY, CCN 530006

Merit-based Incentive Payment System (MIPS)

Final score

86.66 of 100Reported as group

Quality

82.09

Promoting interoperability

98

Improvement activities

40

Cost

75.1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir-myrecord.cerner.com/r4/d7c7003a-96ae-4246-aaaa-19b18f13056e/
• Direct secure messaging: kcmckenzie@sheridan.cernerdirect.com

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.

• Big Horn Health Network

  dba Sheridan Memorial Clinics

  • Internal Medicine Physician
  • Sheridan, WY
  • NPI 1861722688
  Medicare reassignment Care Compare group
• Memorial Hospital of Sheridan County

  dba Sheridan Memorial Hospital

  • General Acute Care Hospital
  • Sheridan, WY
  • NPI 1487707188
  Medicare reassignment Care Compare group
• Memorial Hospital of Sheridan County

  dba Sheridan Memorial Hospital Hospice

  • Community Based Hospice Care Agency
  • Sheridan, WY
  • NPI 1144359423
  NPD
• Gastroenterology Associates, LLC

  • Gastroenterology Physician
  • Casper, WY
  • NPI 1811909807
  NPD (past)
• Sheridan Memorial Sameday Health & Imaging Urgent Care

  • Urgent Care Clinic/Center
  • Sheridan, WY
  • NPI 1124764915
  NPD (past)

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

• Memorial Hospital of Sheridan County

  dba Sheridan Memorial Hospital

  • General Acute Care Hospital
  • Sheridan, WY
  • NPI 1487707188
  Care Compare affiliation

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

{
    "created_epoch": "1411948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760918400000",
    "number": "1356744890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 W 5TH ST",
            "city": "SHERIDAN",
            "state": "WY",
            "postal_code": "828012705",
            "telephone_number": "307-672-1161",
            "fax_number": "307-672-2791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 W 5TH ST",
            "city": "SHERIDAN",
            "state": "WY",
            "postal_code": "828012705",
            "telephone_number": "307-672-1161",
            "fax_number": "307-672-2791"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1333 W 5th St Ste 200",
            "address_purpose": "LOCATION",
            "city": "Sheridan",
            "state": "WY",
            "postal_code": "828012752",
            "country_code": "US",
            "telephone_number": "307-675-2674",
            "fax_number": "307-675-2651",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "840 SW 4th Ave",
            "address_2": "Ste 105",
            "address_purpose": "LOCATION",
            "city": "Ontario",
            "state": "OR",
            "postal_code": "979142627",
            "country_code": "US",
            "telephone_number": "541-881-2500",
            "fax_number": "541-881-2555",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCKENZIE",
        "first_name": "KENNETH",
        "middle_name": "CHANDLER",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-09-29",
        "last_updated": "2025-10-20",
        "certification_date": "2025-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WY",
            "license": "PA728",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "ID",
            "license": "PA - 1194",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OR",
            "license": "PA176761",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kcmckenzie@sheridan.cernerdirect.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "1333 W 5TH ST, STE 112",
            "city": "SHERIDAN",
            "state": "WY",
            "country_code": "US",
            "postal_code": "828012752",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• James W McDonald, MD
• Judith Elkington McDowell
• Ann McElroy-Lopez, MSW, PCSW
• Angela McHenry
• Amanda McIntire, FNP-C
• Matthew Roy McKenzie, PHD
• Jan Marie McManamen
• Alison Kay McManus, RPH
• Bernard W. McManus, RPH
• Jennifer Walker McPhie, OTR/L

• Physician Assistant in Sheridan, WY
• Providers in Sheridan, WY by specialty
• Physician Assistant in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2025; 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.