MCKENZIE K. HARDEN (PA-C) – Medical Physician Assistant, NPI 1073079190
Medical Physician Assistant
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Profile Insights
NPPES metrics only — not quality of care.
5,032 PHYSICIAN ASSISTANT in OH
Provider Addresses for MCKENZIE K. HARDEN (PA-C)
900 LICKING SPRINGS RD
NEWARK, OH 430559688
Phone: (740) 403-9323
Type: Mailing
700 ACKERMAN RD STE 2120
COLUMBUS, OH 432021559
Phone: (614) 293-7499
Fax: (614) 366-2360
Type: Mailing
410 W 10TH AVE
COLUMBUS, OH 432101240
Phone: (614) 293-7499
Fax: (614) 366-2360
Type: Location
Dayton Children’s Hospital, 1, Childrens Plaza, Dayton, Montgomery County, Ohio, 45404, United States
DAYTON, OH 454041873
Phone: (937) 641-3000
Type: Location
96 Integrity Dr Ste H
Hebron, OH 430257013
Phone: (220) 564-2100
Fax: (220) 564-2101
Type: Location
96 INTEGRITY DR STE H
HEBRON, OH 430257013
Phone: (220) 564-2100
Fax: (220) 564-2101
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2020-12-18
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20201218001997 | I | Physician Assistant | OH | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 93 | 63 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 70 | 57 | $0 |
| 96127 | Assessment of emotional or behavioral problems | 20 | 11 | $0 |
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | 19 | 15 | $0 |
| 36415 | Insertion of needle into vein for collection of blood sample | 14 | 13 | $0 |
Insurance plans in this area (ZIP 43055)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Emergency Medicine | OH | |
| Internal Medicine, Emergency Medicine, Addiction Medicine, Internal Medicine, Hospitalist | OH | |
| Sports Medicine, Internal Medicine | OH | |
| Emergency Medicine | OH | |
| Emergency Medicine | OH | |
| Emergency Medicine | OH | |
| - | OH | |
| Nurse Practitioner | OH | |
| Emergency Medicine | OH | |
| Nurse Practitioner | OH |
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