MCKAYLA ROSE GUTZMER – Emergency Medicine Physician, NPI 1124775812

MCKAYLA ROSE GUTZMER is a healthcare provider. based in Milwaukee, Wisconsin. specializing in PHYSICIAN ASSISTANT. They hold a License No. 7036-23 (WI). The NPI Number for MCKAYLA ROSE GUTZMER is 1124775812

Main info

Female
Sole Proprietor
4 Years Of Experience
Accepts Medicare Assignment
Name
MCKAYLA ROSE GUTZMER
NPI
1124775812
Phone
(608) 576-7443
Address
507 N 17TH ST.
Enumeration Date
3 March 2022
Last Update Date
3 April 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6084378040
Graduation Year
2022 (4 years ago)
PAC ID
9032589973
Group Practice PAC ID
3072415553
Professional Enrollment ID
I20230110001932
Address ID
WI535722477MO1883XSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience37
Completeness75
Years active:4State licenses:1Digital endpointsOther names

3,678 PHYSICIAN ASSISTANT in WI

Provider Addresses for MCKAYLA ROSE GUTZMER

  • 507 N 17TH ST.

    MARQUETTE PHYSICIAN ASSISTANT STUDIES

    MILWAUKEE, WI 53233

    Phone: (608) 576-7443

    Type: Mailing

  • 700 S PARK ST

    MADISON, WI 537151830

    Phone: (800) 680-4369

    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: 2023-01-10

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
I20230110001932IPhysician AssistantWITBD

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
99285Emergency department visit with high level of medical decision making4545$0
99284Emergency department visit with moderate level of medical decision making4444$0
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only2525$0
View full utilization report →

Insurance plans in this area (ZIP 53233)

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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: 3072415553View full group profile
NameSpecialtyState
Emergency MedicineWI
Physician AssistantWI
Physician AssistantWI
-WI
Physical Therapist In Private PracticeWI
Diagnostic RadiologyTX
Orthopedic SurgeryWI
Physician AssistantWI
Physician AssistantWI
Physician AssistantMN

Reviews

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Frequently asked questions

What unique ID ties claims to MCKAYLA ROSE GUTZMER?
NPI 1124775812 is assigned to MCKAYLA ROSE GUTZMER under the national enumeration system.
Is MCKAYLA ROSE GUTZMER currently active in the NPI registry?
CMS-published data lists MCKAYLA ROSE GUTZMER as an active registrant.
What kind of provider is MCKAYLA ROSE GUTZMER?
The page reflects Emergency Medicine Physician for MCKAYLA ROSE GUTZMER. Clinical services aligned with this taxonomy classification.
What location shows for MCKAYLA ROSE GUTZMER?
We surface Milwaukee, Wisconsin for MCKAYLA ROSE GUTZMER based on available NPPES addresses.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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