JALISA L MCKINNON APRN
NPI 1487581583
Nurse Practitioner - Acute Care in Tampa, FL

Q: What is Jalisa Mckinnon's NPI number?

The NPI number for Jalisa Mckinnon is 1487581583. It was assigned to this individual provider in the NPPES registry on May 5, 2026.

Q: What is Jalisa Mckinnon's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Q: When was this NPI record last updated?

The NPPES record for Jalisa Mckinnon was last updated on May 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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 May 05, 2026PECOS Enrolled

203 N MARION ST, TAMPA, FL 33602(813) 474-9804 Get Directions Write a Review

NPPES record last updated: May 6, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Jalisa L Mckinnon Aprn NPPES

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

JALISA L MCKINNON APRN (NPI 1487581583) is an individual acute care provider in Tampa, Florida, licensed in Florida (APRN11047270) and active in the NPI registry since May 2026. She is enrolled in Medicare PECOS and is a graduate of Other (2026).

NPPES Registry Identity

NPI1487581583

Entity TypeIndividualFemale

Primary Taxonomy363LA2100X

Provider Legal NameJALISA L MCKINNONCredential: APRN

Location Address203 N MARION STTampa, FL 33602-4914

Mailing Address203 N Marion StTampa, FL 33602-4914 · (813) 474-9804

Phone(813) 474-9804

Sole ProprietorNo

Medical School CMSOtherGraduated 2026

Enumeration DateMay 5, 2026

Last NPPES UpdateMay 6, 2026

NPPES CertifiedMay 6, 2026

✔ NPI 1487581583 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2100X

License✔ Licensed in FL · APRN11047270

203 N MARION ST, Tampa, FL 33602

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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)

Jalisa L Mckinnon Aprn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2264902550

PECOS Enrollment IDI20260528000753

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 33602 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

$87.62 typical visit price

range $56.00 – $171.84

Typical copayment $21.90 (range $14.00 – $42.96)

Most-billed visit code 99203

Established Patient

$99.16 typical visit price

range $17.57 – $139.16

Typical copayment $24.79 (range $4.39 – $34.79)

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 20

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

DR. BRYAN DAVID AGOSTINI SANZ MD

Internal Medicine