MACKENZIE ANN WISNIEWSKI
NPI 1831072735
Physician Assistant in Myrtle Beach, SC

Q: What is Mackenzie Wisniewski's NPI number?

The NPI number for Mackenzie Wisniewski is 1831072735. It was assigned to this individual provider in the NPPES registry on July 28, 2025.

Q: What is Mackenzie Wisniewski's specialty?

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

Active since July 28, 2025PECOS EnrolledAccepts Medicare Assignment

809 82ND PKWY, MYRTLE BEACH, SC 29572(843) 692-1000 Get Directions Write a Review

NPPES record last updated: July 28, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Mackenzie Ann Wisniewski NPPES

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

MACKENZIE ANN WISNIEWSKI (NPI 1831072735) is an individual physician assistant in Myrtle Beach, South Carolina, licensed in (1235234) and active in the NPI registry since July 2025. She is enrolled in Medicare PECOS, is affiliated with Grand Strand Regional Medical Center, and is a graduate of Other (2025).

NPPES Registry Identity

NPI1831072735

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameMACKENZIE ANN WISNIEWSKI

Location Address809 82ND PKWYMyrtle Beach, SC 29572-4607

Mailing Address233 Center AvePittsburgh, PA 15202-1562 · (412) 496-2699

Phone(843) 692-1000

Sole ProprietorNo

Medical School CMSOtherGraduated 2025

Enumeration DateJuly 28, 2025

NPPES CertifiedJuly 28, 2025

✔ NPI 1831072735 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 · 1235234

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.

809 82ND PKWY, Myrtle Beach, SC 29572

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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

Mackenzie Ann Wisniewski 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 ID9133612187

PECOS Enrollment IDI20251208001201

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.

Hospital Affiliations CMS Care Compare

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

Grand Strand Regional Medical Center

Acute Care Hospitals · Myrtle Beach, SC

3/5 CMS rating

OwnershipProprietary

CMS Certification Number420085

Location809 82nd ParkwayMyrtle Beach, SC 29572 · Horry County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29572 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

$83.18 typical visit price

range $53.57 – $163.84

Typical copayment $20.79 (range $13.39 – $40.96)

Most-billed visit code 99203

Established Patient

$67.12 typical visit price

range $16.96 – $133.52

Typical copayment $16.78 (range $4.24 – $33.38)

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.

SOUTHEASTERN HOSPITALIST SERVICES PC

Hospitalist