MAKENZIE KINDER (MSPAS, PA-C) – Physician Assistant, NPI 1073165544

MAKENZIE KINDER (MSPAS, PA-C) is a healthcare provider. based in Somerset, Kentucky. specializing in Physician Assistant. They hold the professional credentials MSPAS, PA-C. They hold a License No. PA2563 (KY). The NPI Number for MAKENZIE KINDER (MSPAS, PA-C) is 1073165544

Main info

Female
7 Years Of Experience
Accepts Medicare Assignment
Name
MAKENZIE KINDER (MSPAS, PA-C)
NPI
1073165544
Phone
Not provided
Address
166 RIDGEWATER DR
Enumeration Date
15 July 2019
Last Update Date
2 September 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6066789688
Graduation Year
2019 (7 years ago)
PAC ID
2668704511
Group Practice PAC ID
7214909456
Professional Enrollment ID
I20191028000673
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience36
Completeness75
Years active:6State licenses:1Digital endpointsOther names

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Provider Addresses for MAKENZIE KINDER (MSPAS, PA-C)

  • 166 RIDGEWATER DR

    SOMERSET, KY 425033811

    Phone:

    Type: Mailing

  • Hospital Way, Somerset, Pulaski County, Kentucky, 42503, United States

    SOMERSET, KY 425032872

    Phone: (606) 451-2600

    Type: Location

  • 401 COMMERCE CIR

    MT STERLING, KY 403537815

    Phone: (859) 498-5243

    Fax: (859) 498-5396

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 9 Open Payments records for all available years, with a total value of $156.

Total Amount is formed as General ($156) + Research ($0) + Ownership ($0) = $156.

Last reported payment date: 2024-10-29 • Largest payer in this snapshot: Merck Sharp & Dohme LLC ($65).

Total Amount

$156

General + Research + Ownership

Payments

9

Total payment records

General Amount

$156

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-29

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2019-10-28

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
I20191028000673IPhysician AssistantKYTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 42503)

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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: 7214909456View full group profile
NameSpecialtyState
Family PracticeKY
Emergency Medicine, Internal MedicineKY
-FL
Internal MedicineKY
Family PracticeKY
Family PracticeKY
Infectious DiseaseKY
Nurse PractitionerKY
-KY
Family PracticeKY

Reviews

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Frequently asked questions

What is the 10-digit NPI for MAKENZIE KINDER (MSPAS, PA-C)?
MAKENZIE KINDER (MSPAS, PA-C) — NPI 1073165544 — is the standard way to identify this listing.
Does the file indicate MAKENZIE KINDER (MSPAS, PA-C) is practicing under active NPI?
Directory data currently reports MAKENZIE KINDER (MSPAS, PA-C) as active.
What healthcare role does MAKENZIE KINDER (MSPAS, PA-C) hold?
Scheduling teams often label MAKENZIE KINDER (MSPAS, PA-C) under Physician Assistant. Clinical services aligned with this taxonomy classification.
Where should I expect MAKENZIE KINDER (MSPAS, PA-C) on a map?
Expect Somerset, Kentucky as a primary anchor for MAKENZIE KINDER (MSPAS, PA-C) unless the record lists multiple sites.
How many locations tie to this NPI?
4 practice locations appear in the available data.

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