Active NPI
Elizabeth McKenzie, DO
- Family Medicine Physician
- Casper, WY
National Provider Identifier
1831880046
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 218-T2
- Practice address
- 1522 E a St
Casper, WY 82601-2221 - Phone
- (307) 234-6161
- NPI assigned
- May 18, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Family Medicine Physician | 207Q00000X | 218-T2 | WY | Primary |
Addresses
Primary practice location
1522 E a St
Casper, WY 82601-2221
Mailing address
124 Alpine Cir
Columbia, SC 29223-6385
Phone (803) 917-5536
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240905002872 | WY | Order and Referring Only - Family Practice | 7113467176 |
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Edward Via Col of Osteo Medicine-Carolinas Campus, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Hot Springs County Hospital District
Practice addresses (Care Compare)
120 N C Ave
Thermopolis, WY 82443-2410
Phone (307) 864-5534
148 E Arapahoe St
Thermopolis, WY 82443-2402
Phone (307) 864-2146
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
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 and National Provider Directory roles.
-
- Comprehensive Outpatient Rehabilitation Facility (CORF)
- Thermopolis, WY
- NPI 1558319392
Hospital & facility affiliations 9
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Thermopolis, WY
- NPI 1861550642
-
- General Acute Care Hospital
- Bozeman, MT
- NPI 1215660840
-
- General Acute Care Hospital
- Billings, MT
- NPI 1265478291
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1684368000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721952000000",
"number": "1831880046",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "124 ALPINE CIR",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "292236385",
"telephone_number": "803-917-5536"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1522 E A ST",
"city": "CASPER",
"state": "WY",
"postal_code": "826012221",
"telephone_number": "307-234-6161"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCKENZIE",
"first_name": "ELIZABETH",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-05-18",
"last_updated": "2024-07-26",
"certification_date": "2024-07-26",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "WY",
"license": "218-T2",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Casper, WY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2024; 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.