MAKENZIE BISHOP – Physician Assistant, NPI 1164049201

MAKENZIE BISHOP is a healthcare provider. based in Cedar city, Utah. specializing in PHYSICIAN ASSISTANT. They hold a License No. 11917253-1206 (UT). The NPI Number for MAKENZIE BISHOP is 1164049201

Main info

Female
Sole Proprietor
6 Years Of Experience
Accepts Medicare Assignment
Name
MAKENZIE BISHOP
NPI
1164049201
Phone
(435) 586-7676
Address
110 W 1325 N STE 200
Enumeration Date
5 July 2020
Last Update Date
26 January 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4355867676
Graduation Year
2020 (6 years ago)
PAC ID
5698186039
Group Practice PAC ID
3971553884
Professional Enrollment ID
I20201116002691
Address ID
UT847218179CE110XX1325302
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness75
Years active:5State licenses:1Digital endpointsOther names

1,972 PHYSICIAN ASSISTANT in UT

Provider Addresses for MAKENZIE BISHOP

  • 110 W 1325 N STE 200

    CEDAR CITY, UT 847218179

    Phone: (435) 586-7676

    Type: Mailing

  • 1077 S 810 E

    PROVO, UT 846066390

    Phone: (435) 592-3971

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 29 Open Payments records for all available years, with a total value of $532.

Total Amount is formed as General ($532) + Research ($0) + Ownership ($0) = $532.

Last reported payment date: 2024-12-16 • Largest payer in this snapshot: ABBVIE INC. ($214).

Total Amount

$532

General + Research + Ownership

Payments

29

Total payment records

General Amount

$532

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-16

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: 2020-11-16

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
I20201116002691IPhysician AssistantUTTBD

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 minutes10460$0
99214Established patient office or other outpatient visit, 30-39 minutes3931$0
96372Injection of drug or substance under skin or into muscle2313$0
83036Hemoglobin a1c level1813$0
81000Manual urinalysis test with examination using microscope, non-automated1313$0
View full utilization report →

Insurance plans in this area (ZIP 84721)

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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: 3971553884View full group profile
NameSpecialtyState
Physician AssistantTX
Family Practice, Sports MedicineUT
Physician AssistantUT
Physician AssistantUT
Family PracticeUT
Physician AssistantUT
-UT
Physician AssistantUT
Family Practice, Obstetrics/GynecologyUT
Physician AssistantUT

Reviews

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Frequently asked questions

What federal number belongs to MAKENZIE BISHOP?
The federal identifier for MAKENZIE BISHOP is NPI 1164049201.
Is MAKENZIE BISHOP active in the national directory?
MAKENZIE BISHOP's public NPI profile is in an active state.
What kind of provider is MAKENZIE BISHOP?
The page reflects Physician Assistant for MAKENZIE BISHOP. Clinical services aligned with this taxonomy classification.
Where is MAKENZIE BISHOP's primary listing?
We display Cedar City, Utah because that is what the record indicates for MAKENZIE BISHOP.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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