Mackenzie Rae Ketterhagen, PA-C
Surgical Physician Assistant · Chesterton, IN
Mackenzie Rae Ketterhagen, PA-C is a surgical physician assistant with a practice address in Chesterton, Indiana, and NPI 1821979519, issued on Sep 9, 2025. Check the license with the Indiana board that licenses this profession; the Medicare figures below come from public CMS files.
- Name
- Mackenzie Rae Ketterhagen
- Credential
- PA-C
- Primary taxonomy
- Surgical Physician Assistant 363AS0400X
- Practice location
- 601 Gateway Blvd N, Chesterton, IN 46304
- Phone
- (219) 921-1444
- Enumerated
- Sep 9, 2025
- Record last updated
- Sep 9, 2025
- Fax
- (219) 921-5303
- Medicare enrollment
- Enrolled (PECOS I20251124002967); accepts Medicare assignment
- Entity
- Type 1 · individual
Also registered at 601 Gateway Blvd N
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Michael Ahearn, ATCAthletic Trainer1295194660
- Joshua Allen, PA-CSurgical Physician Assistant1912345166
- Aaron Anderson, M.D.Surgery of the Hand (Surgery) Physician1750584249
- Rebecca Anderson, M.D.Surgery of the Hand (Surgery) Physician1992995096
- Devin ApplegateAthletic Trainer1720593403
- Kelly Barnes, PA-CPhysician Assistant1558933804
Verify Mackenzie Rae Ketterhagen in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich Indiana board licenses this professionCheck the board
- 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Bills Medicare through one group practice
- Lakeshore Bone And Joint Institute, PCChesterton, IN
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
14 surgical physician assistant records list a practice address in Chesterton
They are 14 of the 570 NPPES records with a practice address in Chesterton, and 164 surgical physician assistant records in Indiana.
All 14 in Chesterton → All 164 in Indiana → Every provider in Chesterton →
Other surgical physician assistant records in Indiana
- Joshua Ackermann, PA-CIndianapolis, IN1285989269
- Sarah Adams, PAIndianapolis, IN1154434629
- Joshua Allen, PA-CChesterton, IN1912345166
- Davina AnaniasIndianapolis, IN1023416872
- Jessica AnsaraCarmel, IN1093347072
- Samantha Barnett, PA-CCarmel, IN1932579802
- Michelle BartlettFishers, IN1275121782
- Hannah Beddow, PA-CTerre Haute, IN1144912775
- Julia Behr, MPAS, PA-CKokomo, IN1285478511
- Amy Bender, PA-CCarmel, IN1356672752
Common questions
What is Mackenzie Rae Ketterhagen, PA-C's NPI number?
Mackenzie Rae Ketterhagen, PA-C's National Provider Identifier (NPI) is 1821979519, issued on Sep 9, 2025. An NPI identifies a provider in billing; it is not a license.
Where is Mackenzie Rae Ketterhagen, PA-C located?
The NPPES record lists a practice address at 601 Gateway Blvd N, Chesterton, IN, 46304. Phone: (219) 921-1444. Providers update this record themselves, so call before visiting.
How can I verify Mackenzie Rae Ketterhagen, PA-C's license?
Search the Indiana board that licenses this profession; the NPPES record confirms identity only.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.