Mackenzie Ann Wisniewski
NPI 1831072735ActiveIndividual· Physician Assistant· Myrtle Beach, SC
Physician Assistant with Southeastern Hospitalist Services PC, practicing in Myrtle Beach, South Carolina. Enrolled in Medicare as practitioner - physician assistant. Lists Grand Strand Regional Medical Center as a hospital affiliation.
Overview
| NPI | 1831072735 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | Jul 28, 2025 |
| Last updated in NPPES | Jul 28, 2025 |
| Certified by provider | Jul 28, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | 1235234 | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physician Assistant (SC) |
|---|
Education and affiliations
| Graduation year | 2025 |
|---|---|
| Medicare specialty | Physician Assistant |
Medical group
- Southeastern Hospitalist Services PCMyrtle Beach, SC · 297 clinicians
Hospital affiliation
- Grand Strand Regional Medical CenterMyrtle Beach, SC
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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All 90 physician assistants in Myrtle Beach · All physician assistants in South Carolina