Makenzi Forman, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA13222 Issued in TX

Practice address

1215 E Court St
Seguin, TX 78155-5129

Phone

(830) 379-2411

NPI assigned

Nov 12, 2019

Last updated

Feb 6, 2025By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

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

Specialty

Physician Assistant

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Guadalupe County Hospital BoardGroup PAC ID 5496653842, 31 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Guadalupe Regional Medical Center Hospital, Seguin, TX, CCN 450104

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

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.

• Guadalupe County Hospital Board

  dba Guadalupe Regional Medical Center

  • General Acute Care Hospital
  • Seguin, TX
  • NPI 1720088123
  Medicare reassignment Care Compare group
• Guadalupe Regional Medical Group

  • Multi-Specialty Clinic/Center
  • Seguin, TX
  • NPI 1578873717
  Medicare reassignment
• Guadalupe County Hospital Board

  dba Guadalupe Regional Medical Center Teddy Buerger Center

  • Counselor
  • Seguin, TX
  • NPI 1043239577
  NPD
• Guadalupe County Hospital Board

  dba Avir at Texarkana

  • Skilled Nursing Facility
  • Texarkana, TX
  • NPI 1154962074
  NPD
• Guadalupe County Hospital Board

  dba Guadalupe Regional Medical Center Cardiology

  • Nursing Care Agency
  • Seguin, TX
  • NPI 1487674727
  NPD
• Guadalupe County Hospital Board

  dba GRMC Hospitalist Group

  • Hospitalist Physician
  • Seguin, TX
  • NPI 1841512845
  NPD
• Guadalupe County Hospital Board

  dba Morningside Manor

  • Skilled Nursing Facility
  • San Antonio, TX
  • NPI 1922081181
  NPD (past)

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

• Guadalupe County Hospital Board

  dba Guadalupe Regional Medical Center Cardiology

  • Nursing Care Agency
  • Seguin, TX
  • NPI 1487674727

  Hospital

  Care Compare affiliation
• Guadalupe County Hospital Board

  dba Guadalupe Regional Medical Center

  • General Acute Care Hospital
  • Seguin, TX
  • NPI 1720088123
  Care Compare affiliation
• Guadalupe County Hospital Board

  dba Guadalupe Regional Medical Laurel

  • General Acute Care Hospital
  • Seguin, TX
  • NPI 1780529966
  Care Compare affiliation

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

{
    "created_epoch": "1573516800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738800000000",
    "number": "1780229948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2123 MILL VLY",
            "city": "SEGUIN",
            "state": "TX",
            "postal_code": "781559491",
            "telephone_number": "830-237-4623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1215 E COURT ST",
            "city": "SEGUIN",
            "state": "TX",
            "postal_code": "781555129",
            "telephone_number": "830-379-2411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORMAN",
        "first_name": "MAKENZI",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-11-12",
        "last_updated": "2025-02-06",
        "certification_date": "2025-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA13222",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mercadies Selisa Flores
• Vanessa Marie Flores, RN
• Caroline Elizabeth Flowers, MD
• FMSC Seguin Operating Company LP (Care Inn of Seguin)
• Patrick Foltz
• Megan Grace Forsberg, AGPCNP-BC, RN
• Cassandra Fossler, PA
• Foundation Surgery Affiliates of Seguin, LLC (South Texas Surgical Center)
• Jacob Michael Frazier
• Fresenius Medical Care San Antonio, LLC (Fresenius Medical Care West Seguin)

• Physician Assistant in Seguin, TX
• Providers in Seguin, TX by specialty
• Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2025; 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.