Kathryn N McKenzie, MD
Individual provider Active NPI Family Medicine Physician · Owatonna, MN
NPI 1669814901 · NPPES record last updated Jun 18, 2019
Key facts
- NPI
- 1669814901
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 58116 (MN)
- Practice address
- 2200 NW 26TH St
Owatonna, MN 55060 - Phone
- (507) 451-1120
- NPI assigned
- Jul 29, 2013
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- University of Minnesota Medical School, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Olmsted Medical Center
Practice addresses (Care Compare)
210 9TH St SE
Rochester, MN 55904-6425
Phone (507) 288-3443
Hospital & facility affiliations
- Mayo Clinic Hospice
- Olmsted Medical Center
- The Green Prairie Rehabilitation Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20140806000011 | MN | Practitioner - Family Practice | 2961645908 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Olmsted Medical Center | Current |
Accepting new patients | |
| Olmsted Medical Center | Current |
Accepting new patients | |
| The Green Prairie Rehabilitation Center LLC | Past | Accepting new patients |
Locations
20 2nd Ave NE
Plainview, MN 55964
Phone (507) 534-3885
210 9th St SE
Rochester, MN 55904
Phone (507) 529-6616
1650 4th St SE
Rochester, MN 55904
Phone (507) 285-8485
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 58116 | MN | Yes |
Addresses
Primary practice location
2200 NW 26TH St
Owatonna, MN 55060
Mailing address
2200 NW 26TH St
Owatonna, MN 55060-5503
Phone (507) 451-1120
Other practice location 1
200 1st St SW
Rochester, MN 55905-0001
Phone (507) 284-2511
Other practice location 2
200 1st St SW
Rochester, MN 55905-0001
Phone (507) 284-2511
Other providers in Owatonna, MN
- Mayo Clinic Hospital-Rochester
- Mayo Foundation for Medical Education & Research
- Julia McCabe
- McGregor Chiropractic PC
- Nicholas James McGregor
- Laura Elizabeth McKibbin
- Melissa McLaurin
- Kristin McMahon
- MCR, Iris Park Chiropractic
- Megan Anthony PLLC
All providers in Owatonna, MN · Family Medicine Physician in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 18, 2019. 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.