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

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: November 01, 2026.

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

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
Open in Google Maps ↗

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, billing reassignment, and ordering and referring status from CMS.

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 IDI20250818001104
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.

Medicare Billing Reassignments

3

Medicare enrollment records show Maxine King reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Adventist Health Mendocino Coast
Same address
Critical Access
700 RIVER DR
Fort Bragg, CA 95437
  • Reassigned Medicare billing, California enrollment
  • 78 clinicians in this Medicare group
NPI 1538113725 (707) 961-1234
Carroll Regional Cancer Center Physicians, LLC
2,473 mi
Hematology & Oncology
291 STONER AVE
Westminster, MD 21157
  • Reassigned Medicare billing, Maryland enrollment
  • 16 clinicians in this Medicare group
NPI 1609167998 (410) 871-6400
The Hospital Of Central Connecticut At New Britain General And Bradley
2,650 mi
General Acute Care Hospital
100 GRAND ST
New Britain, CT 06052
  • Reassigned Medicare billing, Connecticut enrollment
  • 745 clinicians in this Medicare group
NPI 1053477075 (860) 224-5011

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 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.
Clinical Medical Laboratory
700 RIVER DR
FORT BRAGG, CA 95437
Mendocino County (707) 829-5883
MICHAEL KENT PHARMD
Pharmacist
700 RIVER DR
FORT BRAGG, CA 95437
Mendocino County (707) 961-1234
NINA LARSEN
Registered Nurse (Emergency)
700 RIVER DR
FORT BRAGG, CA 95437
Mendocino County (707) 961-1234
JOHN A. KERMEN, D.O.
Anesthesiology
700 RIVER DR
FORT BRAGG, CA 95437
Mendocino County (707) 961-1234
DR. MASYN ENRIGHT DO
Family Medicine
700 RIVER DR
FORT BRAGG, CA 95437
Mendocino County (707) 961-4631
CHARLES C JENKINS MD
Surgery
700 RIVER DR
FORT BRAGG, CA 95437
Mendocino County (707) 961-1234
PHILLIP CONWELL JR. CRNA
Registered Nurse
700 RIVER DR
FORT BRAGG, CA 95437
Mendocino County (707) 961-1234
JOHN A KERMEN D.O.
Anesthesiology
700 RIVER DR
FORT BRAGG, CA 95437
Mendocino County (707) 961-1234

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 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.

Where is Maxine King located?

Maxine King practices at 700 River Dr, Fort Bragg, CA 95437. The listed phone number is (707) 961-4922.

What is Maxine King's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Maxine King enrolled in Medicare?

Yes. Maxine King 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.

Which organizations bill Medicare for Maxine King's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Maxine King reassigns Medicare benefits to 3 organizations: Adventist Health Mendocino Coast (Fort Bragg, CA), Carroll Regional Cancer Center Physicians, LLC (Westminster, MD) and The Hospital Of Central Connecticut At New Britain General And Bradley (New Britain, CT). Each 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 Maxine King'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 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 9 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.