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STACEY MCKINNON
NPI 1053823112
Nurse Practitioner - Family in Daytona Beach, FL

Active since October 30, 2017PECOS EnrolledAccepts Medicare Assignment
769 N CLYDE MORRIS BLVD, DAYTONA BEACH, FL 32114(386) 258-0123 Get Directions Write a Review

NPPES record last updated: June 3, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 3, 2025, Oct 30, 2017 (2 updates tracked since 2017).

About Stacey Mckinnon NPPES

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

STACEY MCKINNON (NPI 1053823112) is an individual family provider in Daytona Beach, Florida, licensed in Florida (9242649) and active in the NPI registry since October 2017. She is enrolled in Medicare PECOS, is affiliated with Adventhealth Daytona Beach, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1053823112
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameSTACEY MCKINNON
Location Address769 N CLYDE MORRIS BLVDDaytona Beach, FL 32114-1603
Mailing Address16 Abacus AveOrmond Beach, FL 32174-1047 · (386) 274-8764 · Fax (386) 258-6464
Phone(386) 258-0123
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateOctober 30, 2017
Last NPPES UpdateJune 3, 20252 updates tracked since enumeration
NPPES CertifiedJune 3, 2025
✔ NPI 1053823112 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in FL · 9242649
769 N CLYDE MORRIS BLVD, Daytona Beach, FL 32114
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health Maintenance Organization of Florida.Insurance ›

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

Stacey Mckinnon 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 ID4082974910
PECOS Enrollment IDI20180214000151
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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Adventhealth Daytona Beach

Acute Care Hospitals · Daytona Beach, FL
5/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number100068
Location301 Memorial Medical ParkwayDaytona Beach, FL 32117 · Volusia County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32114 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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.

Other Providers at the Same Location NPPES 6

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

SARAH BRUCE ARNP
Nurse Practitioner (Women's Health)
769 N CLYDE MORRIS BLVD
DAYTONA BEACH, FL 32114
Volusia County (386) 258-0123
CHRISTINE DA SILVA M.D.
Obstetrics & Gynecology
769 N CLYDE MORRIS BLVD
DAYTONA BEACH, FL 32114
Volusia County (386) 258-0123
DR. JOHN C MEYERS M.D.
Obstetrics & Gynecology
769 N CLYDE MORRIS BLVD
DAYTONA BEACH, FL 32114
Volusia County (386) 258-0123
CYNTHIA KATHLEEN BALDWIN M.D.
Obstetrics & Gynecology
769 N CLYDE MORRIS BLVD
DAYTONA BEACH, FL 32114
Volusia County (386) 258-0123
KELCEY DAY CARSON
Obstetrics & Gynecology
769 N CLYDE MORRIS BLVD
DAYTONA BEACH, FL 32114
Volusia County (386) 258-0123
KAYLA NORWOOD M.S.N., A.R.N.P.
Nurse Practitioner (Women's Health)
769 N CLYDE MORRIS BLVD
DAYTONA BEACH, FL 32114
Volusia County (386) 258-0123

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Stacey Mckinnon's NPI number?

The NPI number for Stacey Mckinnon is 1053823112. It was assigned to this individual provider in the NPPES registry on October 30, 2017.

Where is Stacey Mckinnon located?

Stacey Mckinnon practices at 769 N Clyde Morris Blvd, Daytona Beach, FL 32114. The listed phone number is (386) 258-0123.

What is Stacey Mckinnon's specialty?

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

Is Stacey Mckinnon enrolled in Medicare?

Yes. Stacey Mckinnon is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Stacey Mckinnon accept?

Health plans from Oscar Health Maintenance Organization of Florida list Stacey Mckinnon as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Stacey Mckinnon affiliated with any hospitals?

According to CMS data, Stacey Mckinnon is affiliated with Adventhealth Daytona Beach.

When was this NPI record last updated?

The NPPES record for Stacey Mckinnon was last updated on June 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.