Mackenzi Kay Gatzke, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

1169 Issued in SD

Practice address

71 Charles St
Deadwood, SD 57732-1303

Phone

(605) 717-6431

Fax

(605) 717-8033

NPI assigned

Oct 31, 2018

Last updated

Oct 31, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Miss Mackenzi Kay Rogers Former name

Medicare fee-for-service enrollment

Enrolled in SD

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

Merit-based Incentive Payment System (MIPS)

Final score

93.78 of 100Reported as apm

Quality

80.38

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mgatzke.36294@regionalhealth.sdhealthlink.net

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.

• Monument Health Network, Inc.

  dba Monument Health Hot Springs Clinic

  • Multi-Specialty Clinic/Center
  • Hot Springs, SD
  • NPI 1588185268
  Medicare reassignment
• Monument Health Network, Inc.

  dba Monument Health Orthopedics and Sports Medicine

  • Orthopaedic Surgery Physician
  • Spearfish, SD
  • NPI 1104205020
  NPD
• Monument Health Network, Inc.

  dba Monument Health Custer Clinic

  • Family Medicine Physician
  • Custer, SD
  • NPI 1427243963
  NPD
• Queen City Regional Medical Clinic

  • Physician Assistant
  • Spearfish, SD
  • NPI 1326224627
  NPD (past)

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

{
    "created_epoch": "1540944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540944000000",
    "number": "1356818900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "71 CHARLES ST",
            "city": "DEADWOOD",
            "state": "SD",
            "postal_code": "577321303",
            "telephone_number": "605-717-6431",
            "fax_number": "605-717-8033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "71 CHARLES ST",
            "city": "DEADWOOD",
            "state": "SD",
            "postal_code": "577321303",
            "telephone_number": "605-717-6431",
            "fax_number": "605-717-8033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GATZKE",
        "first_name": "MACKENZI",
        "middle_name": "KAY",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-31",
        "last_updated": "2018-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "SD",
            "license": "1169",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SOUTH DAKOTA BOARD OF MEDICAL AND OSTEOPATHIC EXAMINERS",
            "identifier": "1169",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MACKENZI",
            "last_name": "ROGERS",
            "middle_name": "KAY",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Deadwood Drug Inc (Black Hills Pharmacy)
• Deadwood Eye Care LLC
• Dennis Mills, DDS, PC
• Victoria C Eckrich Reid, PT
• Urszula Eisner
• Elizabeth K Groeger, CRNA
• Thomas J Groeger, MD
• Michael J. Guilbert, O.D.
• Lorraine Dorothy Gukeisen, RN
• James M Hardwick, PA

• Physician Assistant in Deadwood, SD
• Providers in Deadwood, SD by specialty
• Physician Assistant in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2018; 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.