MARY-ELLEN MACDONALD FNP
NPI 1114205200
Nurse Practitioner in Crystal River, FL
About Mary-ellen Macdonald Fnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MARY-ELLEN MACDONALD FNP (NPI 1114205200) is an individual nurse practitioner in Crystal River, Florida, licensed in Florida (ARNP9421749) and active in the NPI registry since July 2011. She is enrolled in Medicare PECOS, is affiliated with Hca Florida Citrus Hospital, and is a graduate of Other (2011).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Mary-ellen Macdonald 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.
Medicare Billing Reassignments
2Medicare enrollment records show Mary-ellen Macdonald reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Crystal River, FL 34429
- Reassigned Medicare billing, Florida enrollment
- 11 clinicians in this Medicare group
Crystal River, FL 34429
- Reassigned Medicare billing, Florida enrollment
- 7 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 2
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.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Hca Florida Citrus Hospital
Acute Care Hospitals · Inverness, FLTampa General Hospital Crystal River
Acute Care Hospitals · Crystal River, FLPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 34429 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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.
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 Mary-ellen Macdonald's NPI number?
The NPI number for Mary-ellen Macdonald is 1114205200. It was assigned to this individual provider in the NPPES registry on July 25, 2011.
Where is Mary-ellen Macdonald located?
Mary-ellen Macdonald practices at 6038 W Nordling Loop, Crystal River, FL 34429. The listed phone number is (352) 563-5070.
What is Mary-ellen Macdonald's specialty?
The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.
Is Mary-ellen Macdonald enrolled in Medicare?
Yes. Mary-ellen Macdonald 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.
Which organizations bill Medicare for Mary-ellen Macdonald's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Mary-ellen Macdonald reassigns Medicare benefits to 2 organizations: Internal Medicine & Pediatrics Wellness Center (Crystal River, FL) and Quality Healthcare Services PLLC (Crystal River, FL). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Mary-ellen Macdonald's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Mary-ellen Macdonald accept?
Health plans from Ambetter Health, Ambetter of Alabama and Oscar Health Maintenance Organization of Florida list Mary-ellen Macdonald 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 Mary-ellen Macdonald affiliated with any hospitals?
According to CMS data, Mary-ellen Macdonald is affiliated with Hca Florida Citrus Hospital and Tampa General Hospital Crystal River.
When was this NPI record last updated?
The NPPES record for Mary-ellen Macdonald was last updated on April 22, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years 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.