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COLLEEN MACIEL NP
NPI 1104777200
Nurse Practitioner - Family in Oceanside, CA

Active since February 04, 2026PECOS Enrolled
2424 VISTA WAY STE 105, OCEANSIDE, CA 92054(858) 209-3717 Get Directions Write a Review

NPPES record last updated: May 11, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 11, 2026, Apr 23, 2026, Apr 16, 2026 and 3 more (6 updates tracked since 2026).

About Colleen Maciel Np NPPES

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

COLLEEN MACIEL NP (NPI 1104777200) is an individual family provider in Oceanside, California, licensed in California (95031099) and active in the NPI registry since February 2026. She is enrolled in Medicare PECOS and maintains a secondary practice location in Oceanside.

NPPES Registry Identity

NPI1104777200
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameCOLLEEN MACIELCredential: NP
Location Address2424 VISTA WAY STE 105Oceanside, CA 92054-6178
Mailing Address441 Calle CorazonOceanside, CA 92057-8511
Phone(858) 209-3717
Sole ProprietorNo
Enumeration DateFebruary 4, 2026
Last NPPES UpdateMay 11, 20266 updates tracked since enumeration
NPPES CertifiedMay 11, 2026
✔ NPI 1104777200 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 CA · 95031099
2424 VISTA WAY STE 105, Oceanside, CA 92054
Open in Google Maps ↗

Other Names 1

Former Name (1)Colleen Duckworth

Secondary Practice Location 1

Location 1441 Calle CorazonOceanside, CA 92057-8511 · Phone (760) 496-8999

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Colleen Maciel Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92054 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
$94.87 typical visit price
range $62.10 – $184.71
Typical copayment $23.71 (range $15.52 – $46.17)
Most-billed visit code 99203
Established Patient
$108.42 typical visit price
range $20.62 – $151.42
Typical copayment $27.10 (range $5.15 – $37.85)
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 3

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

PACIFIC SENIOR GROUP
Internal Medicine
2424 VISTA WAY STE 105
OCEANSIDE, CA 92054
San Diego County (858) 209-3717
DR. KARANBIR BRAR M.D.
Internal Medicine
2424 VISTA WAY STE 105
OCEANSIDE, CA 92054
San Diego County (858) 209-3717
DAVID LAWRENCE BENAVIDES NP
Nurse Practitioner (Family)
2424 VISTA WAY STE 105
OCEANSIDE, CA 92054
San Diego County (858) 209-3717

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 Colleen Maciel's NPI number?

The NPI number for Colleen Maciel is 1104777200. It was assigned to this individual provider in the NPPES registry on February 4, 2026. The provider is also known as Colleen Duckworth.

Where is Colleen Maciel located?

Colleen Maciel practices at 2424 Vista Way Ste 105, Oceanside, CA 92054. The listed phone number is (858) 209-3717.

What is Colleen Maciel's specialty?

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

Is Colleen Maciel enrolled in Medicare?

Yes. Colleen Maciel is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Colleen Maciel was last updated on May 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.