MCKENZIE HOLTY
NPI 1619704087
Physician Assistant in Rapid City, SD

Active since September 18, 2024PECOS EnrolledAccepts Medicare Assignment
353 FAIRMONT BLVD, RAPID CITY, SD 57701(605) 755-4300 Get Directions Write a Review

NPPES record last updated: September 18, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mckenzie Holty NPPES

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

MCKENZIE HOLTY (NPI 1619704087) is an individual physician assistant in Rapid City, South Dakota, licensed in South Dakota (1562) and active in the NPI registry since September 2024. She is enrolled in Medicare PECOS, is affiliated with Monument Health Rapid City Hospital, and is a graduate of Sanford School Of Medicine Of University Of South Dakota (2024).

NPPES Registry Identity

NPI1619704087
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMCKENZIE HOLTY
Location Address353 FAIRMONT BLVDRapid City, SD 57701-7375
Mailing Address353 Fairmont BlvdRapid City, SD 57701-7375
Sole ProprietorYes
Medical School CMSSanford School Of Medicine Of University Of South DakotaGraduated 2024
Enumeration DateSeptember 18, 2024
NPPES CertifiedSeptember 18, 2024
NPI 1619704087 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in SD · 1562
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.
353 FAIRMONT BLVD, Rapid City, SD 57701

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted 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

Mckenzie Holty 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 ID42746828
PECOS Enrollment IDI20241204002538
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

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 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.
14 services14 patients

Hospital Affiliations CMS Care Compare 2

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

Monument Health Rapid City Hospital

Acute Care Hospitals · Rapid City, SD
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number430077
Location353 Fairmont BlvdRapid City, SD 57701 · Pennington County
Emergency services Birthing friendly

Monument Health Custer Hospital

Critical Access Hospitals · Custer, SD
OwnershipVoluntary non-profit - Private
CMS Certification Number431323
Location1220 Montgomery StreetCuster, SD 57730 · Custer County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 57701 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
$85.21 typical visit price
range $55.52 – $167.23
Typical copayment $21.30 (range $13.88 – $41.80)
Most-billed visit code 99203
Established Patient
$69.20 typical visit price
range $18.08 – $137.08
Typical copayment $17.30 (range $4.52 – $34.27)
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.

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.

Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
353 FAIRMONT BLVD
RAPID CITY, SD 57701
Internal Medicine (Pulmonary Disease)
353 FAIRMONT BLVD
RAPID CITY, SD 57701
Nurse Practitioner
353 FAIRMONT BLVD
RAPID CITY, SD 57701
Dietitian, Registered
353 FAIRMONT BLVD
RAPID CITY, SD 57701
Physician Assistant
353 FAIRMONT BLVD
RAPID CITY, SD 57701
Pharmacist
353 FAIRMONT BLVD
RAPID CITY, SD 57701
Physician Assistant
353 FAIRMONT BLVD
RAPID CITY, SD 57701
Internal Medicine
353 FAIRMONT BLVD
RAPID CITY, SD 57701

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 Mckenzie Holty's NPI number?

The NPI number for Mckenzie Holty is 1619704087. It was assigned to this individual provider in the NPPES registry on September 18, 2024.

Where is Mckenzie Holty located?

Mckenzie Holty practices at 353 Fairmont Blvd, Rapid City, SD 57701. The listed phone number is (605) 755-4300.

What is Mckenzie Holty's specialty?

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

Is Mckenzie Holty enrolled in Medicare?

Yes. Mckenzie Holty 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 Mckenzie Holty accept?

Health plans from Avera Health Plans, Medica, Oscar Insurance Company and Sanford Health Plan list Mckenzie Holty 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 Mckenzie Holty affiliated with any hospitals?

According to CMS data, Mckenzie Holty is affiliated with Monument Health Rapid City Hospital and Monument Health Custer Hospital.

When was this NPI record last updated?

The NPPES record for Mckenzie Holty was last updated on September 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.