Individual provider Active NPI

Mackenzie Jayne Shisler

  • Physician Assistant
  • Iowa City, IA
National Provider Identifier
1669274932
Registry record updated Apr 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
134418 Issued in IA
Practice address
269 N 1St Ave
Iowa City, IA 52245-3645
Phone
(319) 351-6852
Fax
(319) 351-2625
NPI assigned
Mar 26, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 14, 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 134418 IA Primary

Addresses

Primary practice location

269 N 1St Ave
Iowa City, IA 52245-3645

Mailing address

200 Hawkins Dr
Iowa City, IA 52242-1009

Other practice location 1

2815 Edgewood Rd SW
Cedar Rapids, IA 52404-3258
Phone (319) 396-9097

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
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
I20251014004335 IA Practitioner - Physician Assistant 9335636273 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mercy Physician Associates IncGroup PAC ID 1355242496, 103 clinicians
State University of IowaGroup PAC ID 7618884230, 1,886 clinicians
Mercy Care Management, IncGroup PAC ID 2466343363, 35 clinicians

Practice addresses (Care Compare)

1765 Lininger LN
Suite 1
North Liberty, IA 52317-2336
Phone (319) 665-3053

1790 Blairs Ferry Rd
Hiawatha, IA 52233-2033
Phone (319) 378-8362

269 N 1St Ave
Univ of Ia Health Care Med Center Iowa City
Iowa City, IA 52245-3645
Phone (319) 351-6852

2815 Edgewood Rd SW
Mercycare South
Cedar Rapids, IA 52404-3258
Phone (319) 396-9097

300 W May St
Marengo, IA 52301-1261
Phone (319) 642-5543

3701 Katz Dr
Marion, IA 52302-3871
Phone (319) 377-3174

5264 Council St NE
100 Mercycare North
Cedar Rapids, IA 52402-2477
Phone (319) 221-8444

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
134418IAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Physician Associates, Inc CurrentSince Jan 1, 2026 Accepting new patients
Mercy Care Management, Inc CurrentSince Jan 1, 2026 Accepting new patients
Physicians Clinic of Iowa, PC CurrentSince Sep 15, 2025 Accepting new patients
Physicians' Clinic of Iowa, PC CurrentSince Sep 15, 2025 Accepting new patients
Mercy Care Management, Inc CurrentSince Jan 1, 2026 Accepting new patients
Mercy Physician Associates Inc CurrentSince Jan 1, 2026 Accepting new patients

Locations

2815 Edgewood Rd SW
Cedar Rapids, IA 52404
Phone (319) 221-8695

5264 Council St NE
Ste 100
Cedar Rapids, IA 52402
Phone (319) 221-8444

202 10th St SE
Ste 165
Cedar Rapids, IA 52403
Phone (319) 247-3049

202 10th St SE
Cedar Rapids, IA 52403
Phone (319) 247-3010

1790 Blairs Ferry Rd
Hiawatha, IA 52233
Phone (319) 378-8362

300 W May St
Marengo, IA 52301
Phone (319) 462-8011

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JIJCBD

Organizations & group practices 8

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 2

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": "1742947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776124800000",
    "number": "1669274932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 HAWKINS DR",
            "city": "IOWA CITY",
            "state": "IA",
            "postal_code": "522421009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "269 N 1ST AVE",
            "city": "IOWA CITY",
            "state": "IA",
            "postal_code": "522453645",
            "telephone_number": "319-351-6852",
            "fax_number": "319-351-2625"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2815 Edgewood Rd SW",
            "address_purpose": "LOCATION",
            "city": "Cedar Rapids",
            "state": "IA",
            "postal_code": "524043258",
            "country_code": "US",
            "telephone_number": "319-396-9097",
            "fax_number": "319-396-8284",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHISLER",
        "first_name": "MACKENZIE",
        "middle_name": "JAYNE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-03-26",
        "last_updated": "2026-04-14",
        "certification_date": "2026-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IA",
            "license": "134418",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Iowa City, IA

Sources for this page

Verify at the official NPI Registry.