1. Home
  2. Directory
  3. Wyoming
  4. Sheridan
  5. Physician Assistant
  6. NPI Profile

MR. KENNETH CHANDLER MCKENZIE PA-C
NPI 1356744890
Physician Assistant in Sheridan, WY

Active since September 29, 2014PECOS EnrolledAccepts Medicare Assignment
80.86/100
CMS Quality Rating
1401 W 5TH ST, SHERIDAN, WY 82801(307) 672-1161(307) 672-2791 Get Directions Write a Review

NPPES record last updated: October 20, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 24, 2022, May 8, 2021, Oct 29, 2019 and 3 more (6 updates tracked since 2016).

About Mr. Kenneth Chandler Mckenzie Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. KENNETH CHANDLER MCKENZIE PA-C (NPI 1356744890) is an individual physician assistant in Sheridan, Wyoming, licensed in Wyoming (PA728) and active in the NPI registry since September 2014. He is enrolled in Medicare PECOS, is affiliated with Sheridan Memorial Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1356744890
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMR. KENNETH CHANDLER MCKENZIECredential: PA-C
Location Address1401 W 5TH STSheridan, WY 82801-2705
Mailing Address1401 W 5th StSheridan, WY 82801-2705 · (307) 672-1161 · Fax (307) 672-2791
Phone(307) 672-1161
Fax(307) 672-2791
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateSeptember 29, 2014
Last NPPES UpdateOctober 20, 20256 updates tracked since enumeration
NPPES CertifiedOctober 20, 2025
✔ NPI 1356744890 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Licenses✔ Licensed in WY · PA728✔ Licensed in ID · PA - 1194✔ Licensed in OR · PA176761
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
1401 W 5TH ST, Sheridan, WY 82801
Open in Google Maps ↗

Secondary Practice Locations 2

Location 1840 SW 4th Ave, Ste 105Ontario, OR 97914-2627 · Phone (541) 881-2500 · Fax (541) 881-2555
Location 21333 W 5th St Ste 200Sheridan, WY 82801-2752 · Phone (307) 675-2674 · Fax (307) 675-2651

Other Identifiers 1

Medicaid147317400WY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Wyoming, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mr. Kenneth Chandler Mckenzie Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2668795188
PECOS Enrollment IDI20170830003121
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 6

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
124 services103 patients
Removal of impacted ear wax 69210
Impacted ear wax removal is a safe procedure to clear blockages in the ear canal caused by hardened ear wax. A healthcare professional uses specialized tools or a gentle irrigation method to loosen and remove the wax, improving hearing and alleviating discomfort.
66 services60 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
59 services19 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
34 services30 patients
Exam of ear using a microscope 92504
An exam of the ear using a microscope allows a detailed view of the ear structures. This non-invasive procedure helps identify issues such as infections, blockages, or ear damage. It's a safe, quick, and painless way to evaluate ear health.
18 services12 patients
New patient office or other outpatient visit with straightforward medical decision making, if using time, 15 minutes or more 99202
This service involves an initial visit to the doctor's office or other outpatient setting. It typically lasts between 15-29 minutes. The doctor will review your medical history, conduct a physical examination, and discuss your health concerns. It's a chance to establish your health baseline and address any immediate medical issues.
11 services11 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Sheridan Memorial Hospital

Acute Care Hospitals · Sheridan, WY
4/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number530006
Location1401 W 5th StSheridan, WY 82801 · Sheridan County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 82801 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$87.12 typical visit price
range $56.42 – $170.72
Typical copayment $21.78 (range $14.10 – $42.68)
Most-billed visit code 99203
Established Patient
$70.32 typical visit price
range $18.19 – $139.32
Typical copayment $17.58 (range $4.54 – $34.83)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

80.86/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality69.83
Promoting Interoperability98
Improvement Activities40
Cost68.06

Referred Medical Equipment & Supplies CMS DME claims 5

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing A6212
DME-Medical/Surgical Supplies · category DA023N
1 supplier18 claims278 services$9.38 avg. paid by Medicare
Gradient compression wrap, non-elastic, below knee, 30-50 mm hg, each A6545
DME-Medical/Surgical Supplies · category DA000N
1 supplier11 claims13 services$82.22 avg. paid by Medicare
Wound care set, for negative pressure wound therapy electrical pump, includes all supplies and accessories A6550
DME-Other DME · category DE000N
3 suppliers13 claims161 services$21.99 avg. paid by Medicare
Canister, disposable, used with suction pump, each A7000
DME-Other DME · category DE000N
2 suppliers12 claims105 services$7.78 avg. paid by Medicare
Negative pressure wound therapy electrical pump, stationary or portable E2402
DME-Other DME · category DE000N
2 suppliers19 claims19 services$1,014.02 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ROCKY MOUNTAIN HOLDINGS, LLC
Ambulance (Air Transport)
1401 W 5TH ST
SHERIDAN, WY 82801
Sheridan County (888) 636-4438
GREGORY GERRITT MARINO DO
Internal Medicine (Hematology & Oncology)
1401 W 5TH ST
SHERIDAN, WY 82801
Sheridan County (307) 674-6022
MEMORIAL HOSPITAL OF SHERIDAN COUNTY
Psychiatric Unit
1401 W 5TH ST
SHERIDAN, WY 82801
Sheridan County (307) 672-1000
DR. KRISTEN LEANN SCHAEFER M.D.
Anesthesiology
1401 W 5TH ST
SHERIDAN, WY 82801
Sheridan County (307) 672-1000
DAVIS M SWAN MD
Anesthesiology
1401 W 5TH ST
SHERIDAN, WY 82801
Sheridan County (307) 672-7874
LACI LITTLE N.P.
Nurse Practitioner (Family)
1401 W 5TH ST
SHERIDAN, WY 82801
Sheridan County (307) 675-5850
PATRICIA TOBI M.D.
Anesthesiology
1401 W 5TH ST, SHERIDAN MEMORIAL HOSPITAL
SHERIDAN, WY 82801
Sheridan County (307) 672-1000
MEMORIAL HOSPITAL OF SHERIDAN COUNTY
Hospice Care, Community Based
1401 W 5TH ST
SHERIDAN, WY 82801
Sheridan County (307) 672-1000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kenneth Mckenzie's NPI number?

The NPI number for Kenneth Mckenzie is 1356744890. It was assigned to this individual provider in the NPPES registry on September 29, 2014.

Where is Kenneth Mckenzie located?

Kenneth Mckenzie practices at 1401 W 5th St, Sheridan, WY 82801. The listed phone number is (307) 672-1161.

What is Kenneth Mckenzie's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Kenneth Mckenzie enrolled in Medicare?

Yes. Kenneth Mckenzie is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Kenneth Mckenzie accept?

Health plans from Blue Cross Blue Shield of Wyoming and UnitedHealthcare list Kenneth Mckenzie as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Kenneth Mckenzie affiliated with any hospitals?

According to CMS data, Kenneth Mckenzie is affiliated with Sheridan Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Kenneth Mckenzie was last updated on October 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.