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KRISTIN SARA MACKINNON LICSW
NPI 1689007577
Social Worker - Clinical in Bellevue, WA

Active since August 14, 2013PECOS EnrolledAccepts Medicare Assignment
79.16/100
CMS Quality Rating
1231 116TH AVE NE STE 400, BELLEVUE, WA 98004(425) 289-3100 Get Directions Write a Review

NPPES record last updated: August 28, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 28, 2023, Nov 11, 2021, Jan 17, 2019 (3 updates tracked since 2019).

About Kristin Sara Mackinnon Licsw NPPES

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

KRISTIN SARA MACKINNON LICSW (NPI 1689007577) is an individual clinical provider in Bellevue, Washington, licensed in Washington (LW60675085) and active in the NPI registry since August 2013. She is enrolled in Medicare PECOS, maintains a secondary practice location in Renton, and is a graduate of Other (2012).

NPPES Registry Identity

NPI1689007577
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameKRISTIN SARA MACKINNONCredential: LICSW
Location Address1231 116TH AVE NE STE 400Bellevue, WA 98004-3804
Mailing Address1231 116th Ave Ne Ste 400Bellevue, WA 98004-3804 · (425) 289-3100
Phone(425) 289-3100
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateAugust 14, 2013
Last NPPES UpdateAugust 28, 20233 updates tracked since enumeration
NPPES CertifiedAugust 28, 2023
✔ NPI 1689007577 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in WA · LW60675085
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
Also ListedSocial WorkerTaxonomy 104100000X · License 35323 (CA)
1231 116TH AVE NE STE 400, Bellevue, WA 98004
Open in Google Maps ↗

Secondary Practice Location 1

Location 1275 Bronson Way NERenton, WA 98056-4030 · Phone (425) 235-2800 · Fax (877) 516-9184

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

Kristin Sara Mackinnon Licsw 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 ID5890183958
PECOS Enrollment IDI20211022001861
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 98004 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
$0.00 typical visit price
range $63.67 – $189.37
Typical copayment $0.00 (range $15.91 – $47.34)
Most-billed visit code NA
Established Patient
$78.74 typical visit price
range $21.12 – $155.00
Typical copayment $19.68 (range $5.28 – $38.75)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

79.16/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality74.53
Promoting Interoperability100
Improvement Activities40
Cost56.02

Other Providers at the Same Location NPPES 3

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

DR. BASHAR KHIATAH MD
Internal Medicine
1231 116TH AVE NE STE 400
BELLEVUE, WA 98004
King County (425) 289-3100
SALEH A ISMAIL M.D.
Internal Medicine (Pulmonary Disease)
1231 116TH AVE NE STE 400
BELLEVUE, WA 98004
King County (425) 454-2671
CHAE EUN LEE M.D.
Internal Medicine
1231 116TH AVE NE STE 400
BELLEVUE, WA 98004
King County (425) 289-3100

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 Kristin Mackinnon's NPI number?

The NPI number for Kristin Mackinnon is 1689007577. It was assigned to this individual provider in the NPPES registry on August 14, 2013.

Where is Kristin Mackinnon located?

Kristin Mackinnon practices at 1231 116th Ave NE Ste 400, Bellevue, WA 98004. The listed phone number is (425) 289-3100.

What is Kristin Mackinnon's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Kristin Mackinnon enrolled in Medicare?

Yes. Kristin Mackinnon 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.

When was this NPI record last updated?

The NPPES record for Kristin Mackinnon was last updated on August 28, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.