MR. JESSE MCKINNON FNP-C
NPI 1407219314
Nurse Practitioner - Family in Homerville, GA

Q: What is Jesse Mckinnon's NPI number?

The NPI number for Jesse Mckinnon is 1407219314. It was assigned to this individual provider in the NPPES registry on March 30, 2016.

Q: What is Jesse Mckinnon's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Jesse Mckinnon was last updated on January 23, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.

Active since March 30, 2016PECOS Enrolled

80 HUXFORD ST, HOMERVILLE, GA 31634(229) 561-5592 Get Directions Write a Review

NPPES record last updated: January 23, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 23, 2019, Mar 30, 2016 (2 updates tracked since 2016).

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About Mr. Jesse Mckinnon Fnp-c NPPES

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

MR. JESSE MCKINNON FNP-C (NPI 1407219314) is an individual family provider in Homerville, Georgia, licensed in Georgia (RN204966) and active in the NPI registry since March 2016. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1407219314

Entity TypeIndividualMale

Primary Taxonomy363LF0000X

Provider Legal NameMR. JESSE MCKINNONCredential: FNP-C

Location Address80 HUXFORD STHomerville, GA 31634-2356

Mailing AddressPo Box 298Homerville, GA 31634-0298

Phone(229) 561-5592

Sole ProprietorYes

Enumeration DateMarch 30, 2016

Last NPPES UpdateJanuary 23, 20192 updates tracked since enumeration

✔ NPI 1407219314 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in GA · RN204966

80 HUXFORD ST, Homerville, GA 31634

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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)

Mr. Jesse 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 31634 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

$83.23 typical visit price

range $53.31 – $164.04

Typical copayment $20.80 (range $13.32 – $41.01)

Most-billed visit code 99203

Established Patient

$94.84 typical visit price

range $16.68 – $133.24

Typical copayment $23.71 (range $4.17 – $33.31)

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.

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Other Providers at the Same Location NPPES 7

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

ROGER W HUELSNITZ MD PC

Family Medicine