MAXINE MILLICENT KING NP-C
NPI 1649783754
Nurse Practitioner in Fort Bragg, CA

Q: What is Maxine King's NPI number?

The NPI number for Maxine King is 1649783754. It was assigned to this individual provider in the NPPES registry on November 10, 2017.

Q: What is Maxine King'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 Maxine King was last updated on January 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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 November 10, 2017PECOS EnrolledAccepts Medicare Assignment

700 RIVER DR, FORT BRAGG, CA 95437(707) 961-4922(707) 961-4921 Get Directions Write a Review

NPPES record last updated: January 8, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 8, 2026, Aug 11, 2025, Oct 11, 2021 and 1 more (4 updates tracked since 2017).

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About Maxine Millicent King Np-c NPPES

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

MAXINE MILLICENT KING NP-C (NPI 1649783754) is an individual nurse practitioner in Fort Bragg, California, licensed in California (95028329) and active in the NPI registry since November 2017. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1649783754

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameMAXINE MILLICENT KINGCredential: NP-C

Location Address700 RIVER DRFort Bragg, CA 95437-5403

Mailing Address700 River DrFort Bragg, CA 95437-5403 · (707) 961-4922 · Fax (707) 961-4921

Phone(707) 961-4922

Fax(707) 961-4921

Sole ProprietorNo

Medical School CMSOtherGraduated 2017

Enumeration DateNovember 10, 2017

Last NPPES UpdateJanuary 8, 20264 updates tracked since enumeration

NPPES CertifiedJanuary 8, 2026

✔ NPI 1649783754 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

Licenses✔ Licensed in CA · 95028329✔ Licensed in MD · AC003700✔ Licensed in CT · 12634

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.

Also ListedNurse Practitioner · GerontologyTaxonomy 363LG0600X · License AC003700 (MD)

700 RIVER DR, Fort Bragg, CA 95437

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Secondary Practice Locations 2

Location 1291 Stoner AveWestminster, MD 21157-5647 · Phone (410) 871-6400

Location 22851 N Tenaya Way Ste 101Las Vegas, NV 89128-0453 · Phone (702) 735-7154 · Fax (702) 869-8103

Other Identifiers 1

OtherAPRN002718NV · State License

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

Maxine Millicent King Np-c 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 ID6901165612

PECOS Enrollment IDI20240214003605, I20250818001104

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 95437 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

$90.32 typical visit price

range $58.87 – $176.60

Typical copayment $22.58 (range $14.71 – $44.15)

Most-billed visit code 99203

Established Patient

$103.36 typical visit price

range $19.28 – $144.60

Typical copayment $25.84 (range $4.82 – $36.15)

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.

STEPHEN PINSK, M.D., INC.

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