McKenzie Bormann

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

106 S Main St
Plankinton, SD 57368-2264

Phone

(605) 942-7711

Fax

(866) 423-6811

NPI assigned

Aug 30, 2021

Last updated

Oct 11, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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 SD

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, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Horizon Health Care IncGroup PAC ID 8921997933, 55 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Avera Queen of Peace Hospital, Mitchell, SD, CCN 431340

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

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.

• Horizon Health Care Inc

  dba Aurora County Clinic

  • Federally Qualified Health Center (FQHC)
  • Plankinton, SD
  • NPI 1356459382
  Medicare reassignment Care Compare group
• Horizon Health Care Inc

  dba Yankton Community Health Center

  • Federally Qualified Health Center (FQHC)
  • Yankton, SD
  • NPI 1013445907
  NPD
• Horizon Health Care Inc

  dba Bryant Clinic

  • Federally Qualified Health Center (FQHC)
  • Bryant, SD
  • NPI 1821102856
  NPD
• Horizon Health Care Inc

  dba Horizon Health Care - CHW Facility

  • Community Health Worker
  • Howard, SD
  • NPI 1902549215
  NPD (past)

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

• Avera Queen of Peace

  dba Avera Queen of Peace Hospital

  • Critical Access Hospital
  • Mitchell, SD
  • NPI 1992466635
  Care Compare affiliation

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

{
    "created_epoch": "1630281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665446400000",
    "number": "1932877644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26540 392ND AVE",
            "city": "STICKNEY",
            "state": "SD",
            "postal_code": "573756216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 S MAIN ST",
            "city": "PLANKINTON",
            "state": "SD",
            "postal_code": "573682264",
            "telephone_number": "605-942-7711",
            "fax_number": "866-423-6811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BORMANN",
        "first_name": "MCKENZIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-30",
        "last_updated": "2022-10-11",
        "certification_date": "2022-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "mbormann@horizonhealthcare.org",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "106 S Main St",
            "city": "Plankinton",
            "state": "SD",
            "country_code": "US",
            "postal_code": "573682264",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Aurora Plains Academy LLC
• Aurora Plains Academy, LLC
• Jadean Pauline Clark, ATC
• Melissa Marie Davis, CNP
• Engage Services, LLC (Jonathan Busch DBA Engage Services)
• Sachiko Evans
• Alyssa Rochelle Hofer, CNP

• Physician Assistant in Plankinton, SD
• Providers in Plankinton, SD by specialty
• Physician Assistant in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2022; 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.