MRS. MCKENZIE HART – Physician Assistant, NPI 1578059143

MRS. MCKENZIE HART is a healthcare provider. based in Boise, Idaho. specializing in PHYSICIAN ASSISTANT. The NPI Number for MRS. MCKENZIE HART is 1578059143

Main info

Female
8 Years Of Experience
Accepts Medicare Assignment
Name
MRS. MCKENZIE HART
NPI
1578059143
Phone
(208) 521-8370
Address
4334 S ALEUT WAY
Enumeration Date
7 July 2018
Last Update Date
7 July 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2085292230
Graduation Year
2018 (8 years ago)
PAC ID
4981948189
Group Practice PAC ID
1153774567
Professional Enrollment ID
I20181128002830
Address ID
ID834047586ID3200XWAYX302
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience19
Completeness75
Years active:7State licenses:0Digital endpointsOther names

1,534 PHYSICIAN ASSISTANT in ID

Provider Addresses for MRS. MCKENZIE HART

  • 4334 S ALEUT WAY

    BOISE, ID 837096033

    Phone: (208) 521-8370

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 19 Open Payments records for all available years, with a total value of $441.

Total Amount is formed as General ($441) + Research ($0) + Ownership ($0) = $441.

Last reported payment date: 2024-12-11 • Largest payer in this snapshot: Astellas Pharma US Inc ($154).

Total Amount

$441

General + Research + Ownership

Payments

19

Total payment records

General Amount

$441

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-11

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2018-11-28

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20181128002830IPhysician AssistantIDTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes1712$0
View full utilization report →

Insurance plans in this area (ZIP 83709)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1153774567View full group profile
NameSpecialtyState
Physician AssistantID
Nurse PractitionerGA
Physician AssistantID
Physician AssistantID
General SurgeryGA
General SurgeryID
Nurse PractitionerID
General SurgeryGA
General SurgeryGA
Plastic And Reconstructive Surgery, General SurgeryID

Reviews

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Frequently asked questions

Is there an official ID for MRS. MCKENZIE HART in U.S. healthcare records?
The official identifier for MRS. MCKENZIE HART is NPI 1578059143.
Would MRS. MCKENZIE HART appear as active to a payer?
You can treat MRS. MCKENZIE HART as active for directory purposes; confirm clinical privileges separately.
What clinical focus is listed for MRS. MCKENZIE HART?
At a glance, MRS. MCKENZIE HART is tied to Physician Assistant. Clinical services aligned with this taxonomy classification.
What locale is associated with MRS. MCKENZIE HART?
Directory geography for MRS. MCKENZIE HART centers on Boise, Idaho.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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