Mackenzie Ketterhagen, PA-C
NPI 1821979519 · Surgical Physician Assistant · Chesterton, IN
Enrolled with Medicare as Practitioner - Physician Assistant · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Mackenzie Ketterhagen, PA-C is a Surgical Physician Assistant provider in Chesterton, IN (NPI 1821979519).
Provider details
- NPI number
- 1821979519
- Entity type
- Individual
- Primary specialty
- Surgical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
- Physician Assistant363A00000X
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
4 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (3)
- 500 E 109th AveCrown Point, IN 46307-7294Phone: (219) 921-1444Fax: (219) 921-5303
- 3691 Willowcreek RdPortage, IN 46368-5080Phone: (219) 921-1444Fax: (219) 921-5303
- 833 W Lincoln Hwy Ste 110eSchererville, IN 46375-4606Phone: (219) 921-1444Fax: (219) 921-5303
Registry dates
- Enumerated
- 2025-09-09
- Last updated
- 2025-09-09
- Certified
- 2025-09-09
Frequently asked questions
- What is Mackenzie Ketterhagen's NPI number?
- Mackenzie Ketterhagen's National Provider Identifier (NPI) is 1821979519, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Mackenzie Ketterhagen's specialty?
- Mackenzie Ketterhagen is listed in the NPPES registry with a primary specialty of Surgical Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Mackenzie Ketterhagen located?
- Mackenzie Ketterhagen's practice location on file with NPPES is 601 Gateway Blvd N, Chesterton, IN 46304-9658.
- What is Mackenzie Ketterhagen's phone number?
- The practice phone number listed in the NPPES registry for Mackenzie Ketterhagen is (219) 921-1444.
- Does Mackenzie Ketterhagen accept Medicare?
- Mackenzie Ketterhagen is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Mackenzie Ketterhagen's NPI active?
- Yes — Mackenzie Ketterhagen's NPI (1821979519) is active in the NPPES registry as of the last update on 2025-09-09.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.