Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Mackenzee Koselke, PA-C

Individual provider Physician Assistant · NPI 1376454215

Mackenzee Koselke, PA-C is a Physician Assistant in Wanatah, Indiana. Licensed in Indiana. Registered with an NPI since 2026.

Licensed in
IN
In the registry since
2026
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

11783 W 1600 S
Wanatah, IN 46390-9671
Phone: (219) 307-6742
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 10005464A (IN)

Record details

NPI number1376454215
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedSeptember 16, 2026
Last updated in NPPESSeptember 16, 2026
Certification dateSeptember 16, 2026