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

Sex

Male

Sole proprietor

No

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.

• Memorial Hospital of Sheridan County

  • General Acute Care Hospital
  • Sheridan, WY
  • NPI 1487707188
  Medicare reassignment Care Compare group NPD WY
• Big Horn Health Network

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

  • Community Based Hospice Care Agency
  • Sheridan, WY
  • NPI 1144359423
  Care Compare group
• Memorial Hospital of Sheridan County

  • Medicare Defined Swing Bed Hospital Unit
  • Sheridan, WY
  • NPI 1184753261
  Care Compare group
• Memorial Hospital of Sheridan County

  • Home Health Agency
  • Sheridan, WY
  • NPI 1851420939
  Care Compare group
• Gastroenterology Associates, LLC

  • Gastroenterology Physician
  • Casper, WY
  • NPI 1811909807
  NPD (past)

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

• Memorial Hospital of Sheridan County

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

Specialty

Physician Assistant

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Big Horn Health Network 84 clinicians

Memorial Hospital of Sheridan County 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 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.

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kcmckenzie@sheridan.cernerdirect.com

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 20, 2025.

{
    "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": "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"
        },
        {
            "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"
        }
    ],
    "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": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "147317400",
            "state": "WY"
        }
    ],
    "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

• All providers in Sheridan, WY
• 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.