NPIMap

Individual provider Active NPI

Mackenzie C Boyer, PA-C

  • Physician Assistant
  • Hastings, NE
National Provider Identifier
1598400129
Registry record updated Mar 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
2711 Issued in NE
Practice address
1021 W 14TH St
Hastings, NE 68901-3046
Phone
(402) 463-2423
Fax
(833) 450-5895
NPI assigned
Apr 28, 2022
Last updated
Mar 4, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 2711 NE Primary

Addresses

Primary practice location

1021 W 14TH St
Hastings, NE 68901-3046

Mailing address

PO Box 968
Hastings, NE 68902-0968
Phone (402) 462-8456

Other identifiers 1

IdentifierTypeStateIssuer
10027780100MedicaidNE

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mackenzie.boyer.1@30441.direct.athenahealth.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221202000352 NE Practitioner - Physician Assistant 9739557315 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
University of Nebraska College of Medicine, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Family Medical Center of HastingsGroup PAC ID 9436101557, 8 clinicians
First Care Medical PCGroup PAC ID 6305901513, 6 clinicians

Practice addresses (Care Compare)

1021 W 14TH St
Hastings, NE 68901-3046
Phone (402) 463-2423

2605 2ND Ave
Kearney, NE 68847-4416
Phone (308) 236-7016

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
2711NEMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Alegent Creighton Clinic CurrentSince Aug 15, 2023 Accepting new patients
First Care Medical, PC CurrentSince May 1, 2024 Accepting new patients
Alegent Creighton Clinic CurrentSince Aug 15, 2023 Accepting new patients
FMCH LLC CurrentSince Feb 23, 2025 Accepting new patients

Locations

2771 Solution Ctr
Chicago, IL 60677

1021 W 14th St
Hastings, NE 68901
Phone (402) 462-4466

2605 2nd Ave
Kearney, NE 68847
Phone (308) 236-7016

16909 Lakeside Hills Ct
Ste 401
Omaha, NE 68130
Phone (402) 827-4920

104 W Seneca St
Ravenna, NE 68869
Phone (308) 236-7016

Interoperability endpoints

  • Direct secure messaging: mackenzie.boyer.1@30441.direct.athenahealth.com
  • Direct secure messaging: mallen@fmch.directbygreenway.com

Organizations & group practices 5

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.

Hospital & facility affiliations 5

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": "1651104000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772582400000",
    "number": "1598400129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 968",
            "city": "HASTINGS",
            "state": "NE",
            "postal_code": "689020968",
            "telephone_number": "402-462-8456",
            "fax_number": "833-450-5895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1021 W 14TH ST",
            "city": "HASTINGS",
            "state": "NE",
            "postal_code": "689013046",
            "telephone_number": "402-463-2423",
            "fax_number": "833-450-5895"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOYER",
        "first_name": "MACKENZIE",
        "middle_name": "C",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-28",
        "last_updated": "2026-03-04",
        "certification_date": "2026-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NE",
            "license": "2711",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10027780100",
            "state": "NE"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mackenzie.boyer.1@30441.direct.athenahealth.com",
            "affiliation": "N",
            "address_1": "1021 W 14th St",
            "city": "Hastings",
            "state": "NE",
            "country_code": "US",
            "postal_code": "689013046",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Hastings, NE

Sources for this page

Verify at the official NPI Registry.