Individual provider Active NPI

McKenzy Norgard, PA-C

  • Physician Assistant
  • Saint Croix Falls, WI
National Provider Identifier
1417713561
Registry record updated Feb 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
817 Oregon St
Saint Croix Falls, WI 54024-9412
Phone
(701) 430-9099
NPI assigned
Feb 26, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 3, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 363A00000X Primary

Addresses

Primary practice location

817 Oregon St
Saint Croix Falls, WI 54024-9412

Mailing address

817 Oregon St
Saint Croix Falls, WI 54024-9412

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
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

Enrollment IDStateProvider typePAC IDDetails
I20260317004542 WI Practitioner - Physician Assistant 0840774907 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2025
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2600 65TH Ave
Osceola, WI 54020-4370

2600 65TH Ave
Osceola, WI 54020-4376

PO Box
Suite 218
Osceola, WI 54020

PO Box
Suite 218
Osceola, WI 54020-0218

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Ladd Memorial Hospital Multi-Specialty CurrentSince Feb 1, 2026 Accepting new patients
Ladd Memorial Hospital CurrentSince Feb 1, 2026 Accepting new patients

Locations

21190 Ozark Ave N
Scandia, MN 55073
Phone (715) 294-2111

2600 65th Ave
Osceola, WI 54020
Phone (705) 268-8000

Organizations & group practices 2

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.

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": "1708905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770076800000",
    "number": "1417713561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "817 OREGON ST",
            "city": "SAINT CROIX FALLS",
            "state": "WI",
            "postal_code": "540249412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "817 OREGON ST",
            "city": "SAINT CROIX FALLS",
            "state": "WI",
            "postal_code": "540249412",
            "telephone_number": "701-430-9099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NORGARD",
        "first_name": "MCKENZY",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-02-26",
        "last_updated": "2026-02-03",
        "certification_date": "2026-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Croix Falls, WI

Sources for this page

Verify at the official NPI Registry.