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MAKARIA KENZIE MCMULLEN FNP
NPI 1396614996
Nurse Practitioner - Family in Crystal Cty, MO

Active since November 03, 2025PECOS EnrolledAccepts Medicare Assignment
1390 US HIGHWAY 61 STE N1500, CRYSTAL CTY, MO 63028(636) 933-8050(636) 933-8047 Get Directions Write a Review

NPPES record last updated: March 26, 2026. Verified against the NPPES registry weekly; last sync: September 13, 2026.

Record update history: Mar 26, 2026, Jan 27, 2026, Nov 3, 2025 (3 updates tracked since 2025).

About Makaria Kenzie Mcmullen Fnp NPPES

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

MAKARIA KENZIE MCMULLEN FNP (NPI 1396614996) is an individual family provider in Crystal Cty, Missouri, licensed in Missouri (2026005553) and active in the NPI registry since November 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1396614996
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMAKARIA KENZIE MCMULLENCredential: FNP
Location Address1390 US HIGHWAY 61 STE N1500Crystal Cty, MO 63028-4137
Mailing Address1390 Us Highway 61 Ste N1500Crystal Cty, MO 63028-4137 · (636) 933-8050 · Fax (636) 933-8047
Phone(636) 933-8050
Fax(636) 933-8047
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateNovember 3, 2025
Last NPPES UpdateMarch 26, 20263 updates tracked since enumeration
NPPES CertifiedMarch 26, 2026
✔ NPI 1396614996 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in MO · 2026005553
Also ListedNurse PractitionerTaxonomy 363L00000X · License 2020027835 (MO)
1390 US HIGHWAY 61 STE N1500, Crystal Cty, MO 63028
Open in Google Maps ↗

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

Makaria Kenzie Mcmullen 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.

PECOS PAC ID3274008719
PECOS Enrollment IDI20260413000258
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 63028 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
$86.32 typical visit price
range $55.65 – $169.38
Typical copayment $21.58 (range $13.91 – $42.34)
Most-billed visit code 99203
Established Patient
$98.37 typical visit price
range $17.76 – $137.92
Typical copayment $24.59 (range $4.44 – $34.48)
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 15

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

DR. SRIDEVI DURGA M.D.
Internal Medicine (Interventional Cardiology)
1390 US HIGHWAY 61 STE N1500
FESTUS, MO 63028
Jefferson County (636) 933-5055
OMAR ALMOUSALLI M.D.
Internal Medicine (Cardiovascular Disease)
1390 US HIGHWAY 61 STE N1500
FESTUS, MO 63028
Jefferson County (636) 933-5055
DR. JEFFREY KENNETH JENKS D.O.
Orthopaedic Surgery
1390 US HIGHWAY 61 STE N1500
FESTUS, MO 63028
Jefferson County (636) 933-8050
COURTNEY ROSE GRAY AGPCNP-BC
Nurse Practitioner (Adult Health)
1390 US HIGHWAY 61 STE N1500
FESTUS, MO 63028
Jefferson County (636) 933-5055
RACHEL GLORIA HOLLAND FNP-C
Nurse Practitioner
1390 US HIGHWAY 61 STE N1500
FESTUS, MO 63028
Jefferson County (636) 933-5055
DR. DALE E DOERR M.D.
Orthopaedic Surgery
1390 US HIGHWAY 61 STE N1500
FESTUS, MO 63028
Jefferson County (636) 933-8050
PAUL RAMON MAYNARD M.D.
Orthopaedic Surgery
1390 US HIGHWAY 61 STE N1500
FESTUS, MO 63028
Jefferson County (636) 933-8050
MS. NICOLE RENEE GUERRERO ANP-BC
Nurse Practitioner (Adult Health)
1390 US HIGHWAY 61 STE N1500
FESTUS, MO 63028
Jefferson County (636) 937-8675

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 Makaria Mcmullen's NPI number?

The NPI number for Makaria Mcmullen is 1396614996. It was assigned to this individual provider in the NPPES registry on November 3, 2025.

Where is Makaria Mcmullen located?

Makaria Mcmullen practices at 1390 Us Highway 61 Ste N1500, Crystal Cty, MO 63028. The listed phone number is (636) 933-8050.

What is Makaria Mcmullen's specialty?

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

Is Makaria Mcmullen enrolled in Medicare?

Yes. Makaria Mcmullen 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.

When was this NPI record last updated?

The NPPES record for Makaria Mcmullen was last updated on March 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.