Individual provider Active NPI

McKenzie Tonks, PA-C

  • Physician Assistant
  • Midvale, UT
National Provider Identifier
1619698750
Registry record updated Jul 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
14284681 Issued in UT
Practice address
7396 S Union Park Ave Ste 201
Midvale, UT 84047-6702
Phone
(801) 567-1400
Fax
(801) 567-1777
NPI assigned
Sep 7, 2022
Last updated
Jul 30, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 30, 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 14284681 UT Primary

Addresses

Primary practice location

7396 S Union Park Ave Ste 201
Midvale, UT 84047-6702

Mailing address

7396 S Union Park Ave Ste 201
Midvale, UT 84047-6702
Phone (801) 567-1400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
88.16 of 100Reported as group
Quality
82.24
Promoting interoperability
100
Improvement activities
40
Cost
78.28

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Dermatology Center of Salt Lake Inc. CurrentSince May 31, 2026 Accepting new patients

Locations

7396 S Union Park Ave
Ste 201
Midvale, UT 84047
Phone (801) 567-1400

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1662508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785369600000",
    "number": "1619698750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7396 S UNION PARK AVE STE 201",
            "city": "MIDVALE",
            "state": "UT",
            "postal_code": "840476702",
            "telephone_number": "801-567-1400",
            "fax_number": "801-567-1777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7396 S UNION PARK AVE STE 201",
            "city": "MIDVALE",
            "state": "UT",
            "postal_code": "840476702",
            "telephone_number": "801-567-1400",
            "fax_number": "801-567-1777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TONKS",
        "first_name": "MCKENZIE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-07",
        "last_updated": "2026-07-30",
        "certification_date": "2026-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "UT",
            "license": "14284681",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Midvale, UT

Sources for this page

Verify at the official NPI Registry.