Kyra Mackenzie Engquist, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

7140-23 Issued in WI

Practice address

550 Martin Ave W
Turtle Lake, WI 54889-9069

Phone

(715) 986-4101

NPI assigned

Apr 13, 2022

Last updated

Aug 1, 2023By 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

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in WI

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, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Amery Regional Medical Center IncGroup PAC ID 2769391960, 124 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Amery Hospital & Clinic Hospital, Amery, WI, CCN 521308

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kmackenzie357370@ewd.direct.hshs.org

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.

• Amery Regional Medical Center, Inc.

  dba Amery Hospital & Clinic

  • Critical Access Hospital
  • Amery, WI
  • NPI 1093763518
  Medicare reassignment Care Compare group NPD
• Amery Regional Medical Center, Inc.

  dba Amery Hospital & Clinic -Clear Lake Clinic

  • Rural Health Clinic/Center
  • Clear Lake, WI
  • NPI 1366878449
  NPD
• Amery Regional Medical Center, Inc.

  dba Amery Hospital & Clinic - Luck

  • Rural Health Clinic/Center
  • Luck, WI
  • NPI 1851345268

  Physician Assistant

  NPD
• Amery Regional Medical Center, Inc.

  dba Turtle Lake Clinic

  • Rural Health Clinic/Center
  • Turtle Lake, WI
  • NPI 1538384466
  NPD (past)

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

• Amery Regional Medical Center, Inc.

  dba Amery Hospital & Clinic

  • Critical Access Hospital
  • Amery, WI
  • NPI 1093763518
  Care Compare affiliation
• Amery Regional Medical Center, Inc.

  dba Amery Hospital & Clinic -Clear Lake Clinic

  • Rural Health Clinic/Center
  • Clear Lake, WI
  • NPI 1366878449

  Hospital

  Care Compare affiliation
• Amery Regional Medical Center, Inc.

  dba Turtle Lake Clinic

  • Rural Health Clinic/Center
  • Turtle Lake, WI
  • NPI 1538384466

  Hospital

  Care Compare affiliation
• Amery Regional Medical Center, Inc.

  dba Amery Hospital & Clinic - Luck

  • Rural Health Clinic/Center
  • Luck, WI
  • NPI 1851345268

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1649808000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690848000000",
    "number": "1871236307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "141 TONNAR ST S",
            "city": "RIDGELAND",
            "state": "WI",
            "postal_code": "547639653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 MARTIN AVE W",
            "city": "TURTLE LAKE",
            "state": "WI",
            "postal_code": "548899069",
            "telephone_number": "715-986-4101"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "265 Griffin St E",
            "address_purpose": "LOCATION",
            "city": "Amery",
            "state": "WI",
            "postal_code": "540011439",
            "country_code": "US",
            "telephone_number": "715-268-8000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "357 3rd Ave",
            "address_purpose": "LOCATION",
            "city": "Clear Lake",
            "state": "WI",
            "postal_code": "540058581",
            "country_code": "US",
            "telephone_number": "715-263-3100",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "103 1st Ave W",
            "address_purpose": "LOCATION",
            "city": "Menomonie",
            "state": "WI",
            "postal_code": "547511876",
            "country_code": "US",
            "telephone_number": "715-232-1314",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2547 State Road 35",
            "address_purpose": "LOCATION",
            "city": "Luck",
            "state": "WI",
            "postal_code": "548534501",
            "country_code": "US",
            "telephone_number": "715-472-2177",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ENGQUIST",
        "first_name": "KYRA",
        "middle_name": "MACKENZIE",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-04-13",
        "last_updated": "2023-08-01",
        "certification_date": "2023-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WI",
            "license": "7140-23",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kmackenzie357370@ewd.direct.hshs.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CDA/CCD/TXT",
            "address_1": "3119 Woodman Dr",
            "city": "Altoona",
            "state": "WI",
            "country_code": "US",
            "postal_code": "547202668",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Cumberland Memorial Hospital, Inc
• Dean M Springer Eyecare Inc
• Dean M Springer Eyecare Inc (Springer Eyecare)
• Timothy J Deflorian, D.C.
• Kay Dorwin, PTA
• Lisa Anne Erickson, APNP
• Marissa Frances Gavioli, PT
• Clair Gille
• Melissa Joan Gunther, RDH
• John Avery Halberg, RPH

• Physician Assistant in Turtle Lake, WI
• Providers in Turtle Lake, WI by specialty
• Physician Assistant in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2023; 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.