Mackenzie Rachel Anderson
Individual provider Active NPI Physician Assistant · Platteville, WI
NPI 1437813680 · NPPES record last updated Jan 10, 2023
Key facts
- NPI
- 1437813680
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- 7219-23 (WI)
- Practice address
- 1400 Eastside Rd
Platteville, WI 53818-9800 - Phone
- (608) 348-2331
- NPI assigned
- Oct 25, 2021
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 9
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Southwest Health Center Inc
Practice addresses (Care Compare)
1400 Eastside Rd
Platteville, WI 53818-9800
Phone 60834823312263
1450 Eastside Rd
Platteville, WI 53818-9800
Phone (608) 348-4330
2388 Hwy 80
Cuba City, WI 53807-9308
Phone (608) 744-2767
3695 Prism LN
Kieler, WI 53812-9118
Phone (608) 348-2331
Hospital & facility affiliations
- Southwest Health Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 80.26 of 100
- Quality
- 92.24
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 41.97
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230213001142 | WI | Practitioner - Physician Assistant | 2163894551 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southwest Health Center, Inc. | Current |
Accepting new patients | |
| Southwest Health Center, Inc. | Current |
Accepting new patients | |
| Southwest Health Center, Inc | Current |
Accepting new patients | |
| Southwest Health Center, Inc. | Past | Accepting new patients |
Locations
2388 State Road 80
Cuba City, WI 53807
Phone (608) 744-2767
1450 Eastside Rd
Platteville, WI 53818
Phone (608) 348-2331
1185 N Elm St
Platteville, WI 53818
Phone (608) 342-3001
1400 Eastside Rd
Platteville, WI 53818
Phone (608) 342-4712
1450 Eastside Rd
#1
Platteville, WI 53818
Interoperability endpoints
- manderson429340@direct-ehr-ssmhc.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 7219-23 | WI | Yes |
Addresses
Primary practice location
1400 Eastside Rd
Platteville, WI 53818-9800
Mailing address
1400 Eastside Rd
Platteville, WI 53818-9800
Phone (608) 348-2331
Other providers in Platteville, WI
- Ashley Lorrie Adams
- Jennifer Grace Albright Knash
- Samantha Albrigtson
- Tiffany M Allen
- Karley Elizabeth Anderson
- Sandra Lynn Anderson
- Jason Y Ankumah-Saikoom
- Taryn Marie Arndt
- Matti Pekka Asuma
- Chloe Mae Bainbridge
All providers in Platteville, WI · Physician Assistant in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 10, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.