DR. PATRICK J MCKENZIE MD
NPI 1881620565
Orthopaedic Surgery - Sports Medicine in Green Bay, WI

Q: What is Patrick Mckenzie's NPI number?

The NPI number for Patrick Mckenzie is 1881620565. It was assigned to this individual provider in the NPPES registry on June 24, 2006.

Q: What is Patrick Mckenzie's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Sports Medicine, with taxonomy code 207XX0005X.

Q: When was this NPI record last updated?

The NPPES record for Patrick Mckenzie was last updated on January 19, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years 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.

Active since June 24, 2006PECOS Enrolled

1630 COMMANCHE AVE, GREEN BAY, WI 54313(920) 593-5555(920) 445-7289 Get Directions Write a Review

NPPES record last updated: January 19, 2016. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Dr. Patrick J Mckenzie Md NPPES

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

DR. PATRICK J MCKENZIE MD (NPI 1881620565) is an individual sports medicine provider in Green Bay, Wisconsin, licensed in Wisconsin (25996-20) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1881620565

Entity TypeIndividualMale

Primary Taxonomy207XX0005X

Provider Legal NameDR. PATRICK J MCKENZIECredential: MD

Location Address1630 COMMANCHE AVEGreen Bay, WI 54313-5753

Mailing AddressPo Box 22487Green Bay, WI 54305-2487 · (920) 445-7226 · Fax (920) 445-7289

Phone(920) 593-5555

Fax(920) 445-7289

Sole ProprietorNo

Enumeration DateJune 24, 2006

Last NPPES UpdateJanuary 19, 2016

✔ NPI 1881620565 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic Surgery · Sports MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207XX0005X

License✔ Licensed in WI · 25996-20

Definition

An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries.

1630 COMMANCHE AVE, Green Bay, WI 54313

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Other Identifiers 7

Medicaid31480700WI

Medicare OSCAR/certificationK400209130WI

Medicare PIN001107027WI

Medicare OSCAR/certificationK400179812WI

Medicare OSCAR/certificationK400193351WI

Medicare UPINC75438WI

Medicare OSCAR/certificationK400270397WI

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Patrick J Mckenzie Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignments

Medicare enrollment records show Patrick Mckenzie reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Bellin Memorial Hospital Inc

Same address

Family Medicine

1630 COMMANCHE AVE STE 102
Green Bay, WI 54313

Reassigned Medicare billing, Wisconsin enrollment
875 clinicians in this Medicare group

NPI 1912420779 (920) 430-4700

Oconto Hospital & Medical Center, Inc.

27 mi

Rural Health

107 E HIGHLAND DR
Oconto Falls, WI 54154

Reassigned Medicare billing, Wisconsin enrollment
573 clinicians in this Medicare group

NPI 1063038313 (920) 846-3092

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 3

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.

42 services24 patients

Aspiration and/or injection of fluid from large joint 20610

This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.

29 services11 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

14 services14 patients

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.

BETHANY J PIOTROWSKI

Physician Assistant