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KYLE MACKINNON
NPI 1306518618
Student in an Organized Health Care Education/Training Program in Boston, MA

Active since October 05, 2021PECOS EnrolledAccepts Medicare Assignment
360 HUNTINGTON AVE, BOSTON, MA 02115(978) 875-2341 Get Directions Write a Review

NPPES record last updated: October 5, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kyle Mackinnon NPPES

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

KYLE MACKINNON (NPI 1306518618) is an individual student in an organized health care education/training program in Boston, Massachusetts and active in the NPI registry since October 2021. He is enrolled in Medicare PECOS, is affiliated with Massachusetts General Hospital, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1306518618
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameKYLE MACKINNON
Location Address360 HUNTINGTON AVEBoston, MA 02115-5005
Mailing Address8 Green StWatertown, MA 02472-2352
Phone(978) 875-2341
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateOctober 5, 2021
NPPES CertifiedOctober 5, 2021
✔ NPI 1306518618 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Also ListedPhysician AssistantTaxonomy 363A00000X
360 HUNTINGTON AVE, Boston, MA 02115
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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

Kyle Mackinnon 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 ID3971957887
PECOS Enrollment IDI20230927000106
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.

Areas of Expertise CMS Part B claims 5

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
111 services86 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
64 services64 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
37 services37 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
36 services33 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
22 services19 patients

Hospital Affiliations CMS Care Compare 4

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

Massachusetts General Hospital

Acute Care Hospitals · Boston, MA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220071
Location55 Fruit StreetBoston, MA 02114 · Suffolk County
Emergency services Birthing friendly

Newton-Wellesley Hospital

Acute Care Hospitals · Newton, MA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220101
Location2014 Washington StreetNewton, MA 02462 · Middlesex County
Emergency services Birthing friendly

Brigham And Women's Hospital

Acute Care Hospitals · Boston, MA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220110
Location75 Francis StreetBoston, MA 02115 · Suffolk County
Emergency services Birthing friendly

Faulkner Hospital-Brigham And Women's

Acute Care Hospitals · Boston, MA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220119
Location1153 Centre StreetBoston, MA 02130 · Suffolk County
Emergency services

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.

HALEY D'ANGELO
Student in an Organized Health Care Education/Training Program
360 HUNTINGTON AVE
BOSTON, MA 02115
Suffolk County (617) 373-2000
SARAH W BRIGHAM
Physician Assistant (Medical)
360 HUNTINGTON AVE
BOSTON, MA 02115
Suffolk County (617) 373-2000
DR. DAVID PAUL ZGARRICK R.PH., PH.D.
Pharmacist
360 HUNTINGTON AVE, NORTHEASTERN UNIVERSITY SCHOOL OF PHARMACY
BOSTON, MA 02115
Suffolk County (617) 373-4664
SANTIAGO ALVA
Physician Assistant
360 HUNTINGTON AVE
BOSTON, MA 02115
Suffolk County (617) 373-2000
MS. NICOLE M ARONSON STUDENT
Student in an Organized Health Care Education/Training Program
360 HUNTINGTON AVE
BOSTON, MA 02115
Suffolk County (617) 373-3195
CASSANDRA FARIA
Student in an Organized Health Care Education/Training Program
360 HUNTINGTON AVE
BOSTON, MA 02115
Suffolk County (617) 373-3195
CAROLINE SQUIZZERO
Student in an Organized Health Care Education/Training Program
360 HUNTINGTON AVE
BOSTON, MA 02115
Suffolk County (401) 603-6233
ELLICE SANTANGELO
Physician Assistant
360 HUNTINGTON AVE
BOSTON, MA 02115
Suffolk County (617) 373-2000

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 Kyle Mackinnon's NPI number?

The NPI number for Kyle Mackinnon is 1306518618. It was assigned to this individual provider in the NPPES registry on October 5, 2021.

Where is Kyle Mackinnon located?

Kyle Mackinnon practices at 360 Huntington Ave, Boston, MA 02115. The listed phone number is (978) 875-2341.

What is Kyle Mackinnon's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Kyle Mackinnon enrolled in Medicare?

Yes. Kyle Mackinnon 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.

Is Kyle Mackinnon affiliated with any hospitals?

According to CMS data, Kyle Mackinnon is affiliated with Massachusetts General Hospital, Newton-Wellesley Hospital, Brigham And Women's Hospital and Faulkner Hospital-Brigham And Women's.

When was this NPI record last updated?

The NPPES record for Kyle Mackinnon was last updated on October 5, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.