JALISA L MCKINNON APRN
NPI 1487581583
Nurse Practitioner - Acute Care in Tampa, FL
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
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Jalisa L Mckinnon Aprn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Jalisa Mckinnon reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Tampa, FL 33602
- Reassigned Medicare billing, Florida enrollment
- 111 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
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.
TAMPA, FL 33602
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 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.
Where is Jalisa Mckinnon located?
Jalisa Mckinnon practices at 203 N Marion St, Tampa, FL 33602. The listed phone number is (813) 474-9804.
What is Jalisa Mckinnon's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.
Is Jalisa Mckinnon enrolled in Medicare?
Yes. Jalisa Mckinnon is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Jalisa Mckinnon's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jalisa Mckinnon reassigns Medicare benefits to Inpatient Specialists Group (Tampa, FL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jalisa Mckinnon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
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 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.
# Jalisa L Mckinnon, APRN · NPI 1487581583
Acute Care physician in Tampa, Florida. Individual provider, active in the CMS NPPES registry since May 5, 2026.
## Identity
- **NPI:** 1487581583 (Entity type: Individual)
- **Enumerated:** May 5, 2026
- **Primary specialty:** Nurse Practitioner - Acute Care · taxonomy 363LA2100X
- **State license:** APRN11047270 (Florida)
- **Sole proprietor:** No
## Practice location
- **Address:** 203 N MARION ST, Tampa, FL 33602-4914
- **Phone:** (813) 474-9804
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Inpatient Specialists Group (NPI 1073008579, Tampa, FL), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2026
## Record status
- **NPPES last updated:** May 6, 2026
---
Source: [NPI Profile](https://npiprofile.com/npi/1487581583) · Data from the CMS NPPES public registry.