McKenzie Olivia Page, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PAC0711 Issued in ND

Practice address

801 21St Ave SE
Minot, ND 58701-6064

Phone

(701) 838-3150

NPI assigned

Feb 13, 2017

Sex

Female

Sole proprietor

Yes

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.

• Sanford Bismarck

  • Multi-Specialty Clinic/Center
  • Bismarck, ND
  • NPI 1811941172

  ND

  Medicare reassignment Care Compare group NPD
• Sanford Bismarck

  • Clinical Medical Laboratory
  • Bismarck, ND
  • NPI 1154485944
  Care Compare group
• Sanford Bismarck

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Fort Yates, ND
  • NPI 1396828547
  Care Compare group
• Sanford Bismarck

  • Community Based Hospice Care Agency
  • Mandan, ND
  • NPI 1477631745
  Care Compare group
• Sanford Bismarck

  • General Acute Care Hospital
  • Bismarck, ND
  • NPI 1538245634
  Care Compare group
• Sanford Bismarck

  • Ambulatory Surgical Clinic/Center
  • Dickinson, ND
  • NPI 1598185597
  Care Compare group
• Sanford Bismarck

  • Home Health Agency
  • Mandan, ND
  • NPI 1669555744
  Care Compare group
• Sanford Bismarck

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Bismarck, ND
  • NPI 1700962818
  Care Compare group
• Sanford Bismarck

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Jamestown, ND
  • NPI 1720161953
  Care Compare group
• Sanford Bismarck

  • Community/Retail Pharmacy
  • Bismarck, ND
  • NPI 1790889715
  Care Compare group

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

• Sanford Bismarck

  • General Acute Care Hospital
  • Bismarck, ND
  • NPI 1538245634

  Hospital

  Care Compare affiliation

Specialty

Physician Assistant

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Sanford Bismarck 562 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Sanford Medical Center Bismarck Hospital, Bismarck, ND, CCN 350015

Merit-based Incentive Payment System (MIPS)

Final score

89.63 of 100Reported as group

Quality

89.39

Promoting interoperability

100

Improvement activities

40

Cost

76.04

Medicare fee-for-service enrollment

Enrolled in ND

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

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 1, 2018.

{
    "created_epoch": "1486944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538352000000",
    "number": "1447799382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 21ST AVE SE",
            "city": "MINOT",
            "state": "ND",
            "postal_code": "587016064",
            "telephone_number": "701-838-3150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 21ST AVE SE",
            "city": "MINOT",
            "state": "ND",
            "postal_code": "587016064",
            "telephone_number": "701-838-3150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAGE",
        "first_name": "MCKENZIE",
        "middle_name": "OLIVIA",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-02-13",
        "last_updated": "2018-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "ND",
            "license": "PAC0711",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Akira Owen
• Oluremilekun Oyefolu, MD
• Koyejo A. Oyerinde, M.D.
• Danial Padgett, MD
• Megan Padron
• Jade Pakkala
• Stephanie Diane Palmer
• Anne Jasmine Holandez Palparan
• Pamela A Palumbo
• Amber M Pankratz, PT, DPT

• All providers in Minot, ND
• Physician Assistant in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 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.