Mackenzie Rae Ketterhagen, PA-C
NPI 1821979519ActiveIndividual· Physician Assistant, Surgical· Chesterton, IN
Physician Assistant, Surgical (PA-C) with Lakeshore Bone and Joint Institute, PC, practicing in Chesterton, Indiana. Enrolled in Medicare as practitioner - physician assistant. Lists St Mary Medical Center Inc as a hospital affiliation.
Overview
| NPI | 1821979519 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA-C |
| Sole proprietor | No |
| NPI issued | Sep 9, 2025 |
| Last updated in NPPES | Sep 9, 2025 |
| Certified by provider | Sep 9, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant, Surgical Primary | 363AS0400X | — | — |
| Physician Assistant | 363A00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physician Assistant (IN) |
|---|
Education and affiliations
| Graduation year | 2025 |
|---|---|
| Medicare specialty | Physician Assistant |
Medical group
- Lakeshore Bone and Joint Institute, PCPortage, IN · 81 clinicians
Hospital affiliation
- St Mary Medical Center IncHobart, IN
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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