ASHLEY MARIE MACKINAC FNP
NPI 1073298857
Nurse Practitioner - Family in Saint Cloud, MN

Q: What is Ashley Mackinac's NPI number?

The NPI number for Ashley Mackinac is 1073298857. It was assigned to this individual provider in the NPPES registry on June 19, 2023.

Q: What is Ashley Mackinac'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 Ashley Mackinac was last updated on March 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.

Active since June 19, 2023

4801 VETERANS DR, SAINT CLOUD, MN 56303(167) 032-0252 Get Directions Write a Review

NPPES record last updated: March 13, 2025. Verified against the NPPES registry weekly; last sync: September 20, 2026.

Record update history: Mar 13, 2025, Mar 4, 2025, Jun 19, 2023 (3 updates tracked since 2023).

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About Ashley Marie Mackinac Fnp NPPES

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

ASHLEY MARIE MACKINAC FNP (NPI 1073298857) is an individual family provider in Saint Cloud, Minnesota, licensed in Minnesota (10251) and active in the NPI registry since June 2023.

NPPES Registry Identity

NPI1073298857

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameASHLEY MARIE MACKINACCredential: FNP

Location Address4801 VETERANS DRSaint Cloud, MN 56303-2015

Mailing Address4801 Veterans DrSaint Cloud, MN 56303-2015 · (320) 423-7468

Phone(167) 032-0252

Sole ProprietorNo

Enumeration DateJune 19, 2023

Last NPPES UpdateMarch 13, 20253 updates tracked since enumeration

NPPES CertifiedMarch 13, 2025

✔ NPI 1073298857 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

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

Taxonomy Code363LF0000X

License✔ Licensed in MN · 10251

Also ListedNurse Practitioner · Adult HealthTaxonomy 363LA2200X · License 10251 (MN)

Also ListedNurse Practitioner · Primary CareTaxonomy 363LP2300X · License 10251 (MN)

4801 VETERANS DR, Saint Cloud, MN 56303

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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.

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