KENDRA KAY HACKNEY FNP
NPI 1053612697
Nurse Practitioner - Family in Mckinleyville, CA

Q: What is Kendra Hackney's NPI number?

The NPI number for Kendra Hackney is 1053612697. It was assigned to this individual provider in the NPPES registry on November 13, 2010.

Q: What is Kendra Hackney's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Kendra Hackney was last updated on August 29, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since November 13, 2010PECOS EnrolledAccepts Medicare Assignment

1644 CENTRAL AVE, MCKINLEYVILLE, CA 95519(707) 839-3068(707) 839-3827 Get Directions Write a Review

NPPES record last updated: August 29, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 5, 2024, Sep 28, 2020 (2 updates tracked since 2020).

On this page

About Kendra Kay Hackney Fnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KENDRA KAY HACKNEY FNP (NPI 1053612697) is an individual family provider in Mckinleyville, California, licensed in California (95027800) and active in the NPI registry since November 2010. She is enrolled in Medicare PECOS and is a graduate of Other (2010).

NPPES Registry Identity

NPI1053612697

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameKENDRA KAY HACKNEYCredential: FNP

Location Address1644 CENTRAL AVEMckinleyville, CA 95519-4342

Mailing Address1275 8th StArcata, CA 95521-5770 · (707) 826-8633

Phone(707) 839-3068

Fax(707) 839-3827

Sole ProprietorNo

Medical School CMSOtherGraduated 2010

Enumeration DateNovember 13, 2010

Last NPPES UpdateAugust 29, 20242 updates tracked since enumeration

NPPES CertifiedAugust 29, 2024

✔ NPI 1053612697 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

Licenses✔ Licensed in CA · 95027800✔ Licensed in MN · F0910261✔ Licensed in MN · CNP2597

Also ListedRegistered Nurse · General PracticeTaxonomy 163WG0000X · License 95354760 (CA)

1644 CENTRAL AVE, Mckinleyville, CA 95519

Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kendra Kay Hackney Fnp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8820272230

PECOS Enrollment IDI20201012002869, I20240319000810

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Hemoglobin a1c level 83036

Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.

38 services26 patients

Routine electrocardiogram (ecg) using at least 12 leads with tracing 93005

An Electrocardiogram (ECG) is a simple, painless test that records the heart's electrical activity. Using 12 leads attached to your skin, it generates a tracing of your heart rhythm. It helps detect any heart problems by showing the timing and strength of electrical signals passing through each part of your heart.

33 services30 patients

Urinalysis using microscope 81015

Urinalysis with a microscope is a test that helps detect issues in your body. A small sample of your urine is examined under a microscope. This allows the detection of substances not visible to the naked eye, aiding in diagnosing various health conditions.

23 services21 patients

Wet mounts, including preparations of vaginal, cervical or skin specimens Q0111

Wet mounts are lab tests that help analyze certain types of samples from your body. This could include samples from skin or other areas. The sample is placed on a glass slide and examined under a microscope to identify any potential issues. It's a simple, quick, and painless procedure.

15 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95519 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$90.32 typical visit price

range $58.87 – $176.60

Typical copayment $22.58 (range $14.71 – $44.15)

Most-billed visit code 99203

Established Patient

$103.36 typical visit price

range $19.28 – $144.60

Typical copayment $25.84 (range $4.82 – $36.15)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg J7613

DME-Drugs Administered Through DME · category DG006N

2 suppliers11 claims812 services$0.03 avg. paid by Medicare

Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme J7620

DME-Drugs Administered Through DME · category DG006N

1 supplier13 claims840 services$0.10 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Leave this field empty

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DANNA FUKUSHIMA RN

Registered Nurse