Olivia Mackenzie King, PA
Physician Assistant · South Bend, IN
Olivia Mackenzie King, PA is a physician assistant with a practice address in South Bend, Indiana, and NPI 1366276149, issued on Aug 26, 2024. Check the license with the Indiana board that licenses this profession; the Medicare figures below come from public CMS files.
- Name
- Olivia Mackenzie King
- Credential
- PA
- Primary taxonomy
- Physician Assistant 363A00000X
- Practice location
- 4322 Lafayette Blvd., South Bend, IN 46614
- Phone
- (574) 391-1111
- Enumerated
- Aug 26, 2024
- Record last updated
- Aug 26, 2024
- Fax
- (574) 859-5040
- Medicare enrollment
- Enrolled (PECOS I20241218002773); accepts Medicare assignment
- Entity
- Type 1 · individual
8 nearest physician assistant records → All 2,419 in Indiana → Look up another NPI →
Verify Olivia Mackenzie King 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
Industry payments in 2024: $17.49
1 payment: food and beverage; the largest payer was Arcutis Biotherapeutics, Inc. The 64,719 providers of this specialty with any payment received $841.65 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.
Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.
Bills Medicare through one group practice
- Cardinal Dermatology LLCSouth Bend, IN
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Olivia Mackenzie King among 2,419 physician assistant records in Indiana
Olivia Mackenzie King, PA is one of 2,419 physician assistant records with a practice address in Indiana. 82% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2024, is newer than 81% of them.
- NPI issued2024 · 81% of these records are older, 12% newer
- In a Medicare fileYes · 82% of these records are
- In the CMS Doctors and Clinicians fileYes · 70% of these records are
- Graduated2024 · median 2019 among the 1,700 with a school on file
- Record last updated2024 · 25% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 363A00000X and a Indiana practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
47 physician assistant records list a practice address in South Bend
They are 47 of the 3,178 NPPES records with a practice address in South Bend, and 2,419 physician assistant records in Indiana.
All 2,419 in Indiana → Every provider in South Bend → Physician Assistant nationwide →
The 8 physician assistant records with the nearest ZIP codes
- Kristina Crespo, PA-CSouth Bend, IN 466141962123075
- Jessica Filipski, PASouth Bend, IN 466141366100604
- Sean Horner, PACSouth Bend, IN 466141033622709
- Angela Kay, PASouth Bend, IN 466141801293634
- Sheri Wilson, PA-CSouth Bend, IN 466141568454940
- Autumn Hanna, PASouth Bend, IN 466171003677964
- Rebecca Kraskow, PA-CSouth Bend, IN 466171538625777
- Reegan Miller, PA-CSouth Bend, IN 466171700615424
Common questions
What is Olivia Mackenzie King, PA's NPI number?
Olivia Mackenzie King, PA's National Provider Identifier (NPI) is 1366276149, issued on Aug 26, 2024. An NPI identifies a provider in billing; it is not a license.
Where is Olivia Mackenzie King, PA located?
The NPPES record lists a practice address at 4322 Lafayette Blvd., South Bend, IN, 46614. Phone: (574) 391-1111. Providers update this record themselves, so call before visiting.
How can I verify Olivia Mackenzie King, PA'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.