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MARK MCALPIN MSW
NPI 1275231896
Counselor - Professional in Hillsboro Beach, FL

Active since February 22, 2023PECOS EnrolledAccepts Medicare Assignment
1035 HILLSBORO MILE APT 43, HILLSBORO BEACH, FL 33062(903) 245-0493 Get Directions Write a Review

NPPES record last updated: February 22, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Mark Mcalpin Msw NPPES

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

MARK MCALPIN MSW (NPI 1275231896) is an individual professional provider in Hillsboro Beach, Florida, licensed in Florida (ISW16177) and active in the NPI registry since February 2023. He is enrolled in Medicare PECOS and is a graduate of Florida State University College Of Medicine (2021).

NPPES Registry Identity

NPI1275231896
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameMARK MCALPINCredential: MSW
Location Address1035 HILLSBORO MILE APT 43Hillsboro Beach, FL 33062-2145
Mailing Address1035 Hillsboro Mile Apt 43Hillsboro Beach, FL 33062-2145 · (903) 245-0493
Phone(903) 245-0493
Sole ProprietorYes
Medical School CMSFlorida State University College Of MedicineGraduated 2021
Enumeration DateFebruary 22, 2023
NPPES CertifiedFebruary 22, 2023
✔ NPI 1275231896 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in FL · ISW16177
1035 HILLSBORO MILE APT 43, Hillsboro Beach, FL 33062
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Oscar Health Maintenance Organization of Florida and more.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

Mark Mcalpin Msw 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 ID6901303411
PECOS Enrollment IDI20251009003589
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.

Medicare Billing Reassignment

Medicare enrollment records show Mark Mcalpin reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Amanda Patterson, Lmhc, LLC
19 mi
Mental Health
5400 S UNIVERSITY DR STE 308
Davie, FL 33328
  • Reassigned Medicare billing, Florida enrollment
  • 27 clinicians in this Medicare group
NPI 1265815351 (543) 785-3819

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Mark Mcalpin's NPI number?

The NPI number for Mark Mcalpin is 1275231896. It was assigned to this individual provider in the NPPES registry on February 22, 2023.

Where is Mark Mcalpin located?

Mark Mcalpin practices at 1035 Hillsboro Mile Apt 43, Hillsboro Beach, FL 33062. The listed phone number is (903) 245-0493.

What is Mark Mcalpin's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Mark Mcalpin enrolled in Medicare?

Yes. Mark Mcalpin 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 organization bills Medicare for Mark Mcalpin's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mark Mcalpin reassigns Medicare benefits to Amanda Patterson, Lmhc, LLC (Davie, FL). The 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 Mark Mcalpin's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mark Mcalpin accept?

Health plans from Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Oscar Health Maintenance Organization of Florida and UnitedHealthcare list Mark Mcalpin 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.

When was this NPI record last updated?

The NPPES record for Mark Mcalpin was last updated on February 22, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.