MS. MCKENZIE MARIE ALEXANDRA GASSNER (PA-C) – Surgical Physician Assistant, NPI 1093279507

MS. MCKENZIE MARIE ALEXANDRA GASSNER (PA-C) is a healthcare provider. based in Malden, Massachusetts. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. PA213830 (OR). The NPI Number for MS. MCKENZIE MARIE ALEXANDRA GASSNER (PA-C) is 1093279507

Main info

Female
8 Years Of Experience
Accepts Medicare Assignment
Name
MS. MCKENZIE MARIE ALEXANDRA GASSNER (PA-C)
NPI
1093279507
Phone
(541) 771-9059
Address
5 ISLAND HILL AVE APT 203
Enumeration Date
29 January 2019
Last Update Date
6 June 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5034948311
Graduation Year
2018 (8 years ago)
PAC ID
0244571529
Group Practice PAC ID
4880760107
Professional Enrollment ID
I20230428001841
Address ID
OR972393011PO3181XRDXX600
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:7State licenses:2Digital endpointsOther names

5,091 PHYSICIAN ASSISTANT in MA

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Provider Addresses for MS. MCKENZIE MARIE ALEXANDRA GASSNER (PA-C)

  • 5 ISLAND HILL AVE APT 203

    MALDEN, MA 021482647

    Phone: (541) 771-9059

    Type: Mailing

  • Cambridge Hospital, 1493, Cambridge Street, Inman Square, Cambridge, Middlesex County, Massachusetts, 02139, United States

    CAMBRIDGE, MA 021391047

    Phone: (541) 771-9059

    Type: Location

  • 5 Island Hill Ave Apt 203

    Malden, MA 021482647

    Phone: (541) 771-9059

    Type: Location

  • 1493 Cambridge St

    Cambridge, MA 021391047

    Phone: (541) 771-9059

    Type: Location

  • 10000 SE MAIN ST STE 260

    PORTLAND, OR 972162448

    Phone: (503) 346-1500

    Fax: (503) 346-1501

    Type: Location

  • 1400 SW 5TH AVE STE 500

    PORTLAND, OR 972015537

    Phone: (866) 617-6855

    Fax: (503) 346-8015

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $194.

Total Amount is formed as General ($194) + Research ($0) + Ownership ($0) = $194.

Last reported payment date: 2023-07-18 • Largest payer in this snapshot: PROCEPT BioRobotics Corporation ($194).

Total Amount

$194

General + Research + Ownership

Payments

1

Total payment records

General Amount

$194

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-07-18

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: 2023-04-28

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
I20230428001841IPhysician AssistantORTBD

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
99204New patient office or other outpatient visit, 45-59 minutes2525$0
99214Established patient office or other outpatient visit, 30-39 minutes1717$0
View full utilization report →

Insurance plans in this area (ZIP 02148)

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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: 4880760107View full group profile

Reviews

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Frequently asked questions

What is the registry number for MS. MCKENZIE MARIE ALEXANDRA GASSNER (PA-C)?
The registry entry for MS. MCKENZIE MARIE ALEXANDRA GASSNER (PA-C) shows NPI 1093279507.
Does the public listing show MS. MCKENZIE MARIE ALEXANDRA GASSNER (PA-C) as active?
MS. MCKENZIE MARIE ALEXANDRA GASSNER (PA-C)'s NPI record reflects an active status in NPPES.
How should patients interpret MS. MCKENZIE MARIE ALEXANDRA GASSNER (PA-C)'s specialty?
The extract shows Surgical Physician Assistant for MS. MCKENZIE MARIE ALEXANDRA GASSNER (PA-C). Clinical services aligned with this taxonomy classification.
Is MS. MCKENZIE MARIE ALEXANDRA GASSNER (PA-C) tied to Malden, Massachusetts?
If you are local to Malden, Massachusetts, MS. MCKENZIE MARIE ALEXANDRA GASSNER (PA-C) may be relevant to your search.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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