TRACI JOY MCKINNON FNP-C
NPI 1356969067
Nurse Practitioner in Pearl Harbor, HI

Q: What is Traci Mckinnon's NPI number?

The NPI number for Traci Mckinnon is 1356969067. It was assigned to this individual provider in the NPPES registry on July 9, 2020.

Q: What is Traci Mckinnon's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Traci Mckinnon was last updated on April 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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 July 09, 2020PECOS Enrolled

480 CENTRAL AVE, PEARL HARBOR, HI 96860(808) 473-1880 Get Directions Write a Review

NPPES record last updated: April 24, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 7, 2025, Jul 17, 2024, Jul 9, 2020 (3 updates tracked since 2020).

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About Traci Joy Mckinnon Fnp-c NPPES

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

TRACI JOY MCKINNON FNP-C (NPI 1356969067) is an individual nurse practitioner in Pearl Harbor, Hawaii, licensed in Virginia (24178899) and active in the NPI registry since July 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1356969067

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameTRACI JOY MCKINNONCredential: FNP-C

Location Address480 CENTRAL AVEPearl Harbor, HI 96860-4908

Mailing Address480 Central AvePearl Harbor, HI 96860-4908

Phone(808) 473-1880

Sole ProprietorNo

Enumeration DateJuly 9, 2020

Last NPPES UpdateApril 24, 20253 updates tracked since enumeration

NPPES CertifiedApril 16, 2025

✔ NPI 1356969067 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in VA · 24178899

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

480 CENTRAL AVE, Pearl Harbor, HI 96860

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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 (PECOS)

Traci Joy Mckinnon Fnp-c 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 96860 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

$92.50 typical visit price

range $60.53 – $180.05

Typical copayment $23.12 (range $15.13 – $45.01)

Most-billed visit code 99203

Established Patient

$105.65 typical visit price

range $20.09 – $147.56

Typical copayment $26.41 (range $5.02 – $36.89)

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 20

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

DR. JOHN KNOREK PH.D.

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