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KRISTIN MACLAO ARNP
NPI 1699409318
Nurse Practitioner - Psychiatric/Mental Health in Ponte Vedra, FL

Active since July 11, 2022PECOS EnrolledAccepts Medicare Assignment
145 HILDEN RD STE 120, PONTE VEDRA, FL 32081(833) 651-1990(904) 217-8950 Get Directions Write a Review

NPPES record last updated: April 12, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 12, 2024, May 5, 2023, Oct 26, 2022 and 1 more (4 updates tracked since 2022).

About Kristin Maclao Arnp NPPES

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

KRISTIN MACLAO ARNP (NPI 1699409318) is an individual psychiatric/mental health provider in Ponte Vedra, Florida, licensed in Florida (11020593) and active in the NPI registry since July 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1699409318
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameKRISTIN MACLAOCredential: ARNP
Location Address145 HILDEN RD STE 120Ponte Vedra, FL 32081-8403
Mailing Address12340 Silent Brook Trl NJacksonville, FL 32225-5125 · (904) 910-7540
Phone(833) 651-1990
Fax(904) 217-8950
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateJuly 11, 2022
Last NPPES UpdateApril 12, 20244 updates tracked since enumeration
NPPES CertifiedApril 12, 2024
✔ NPI 1699409318 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in FL · 11020593
145 HILDEN RD STE 120, Ponte Vedra, FL 32081
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Cigna Healthcare, Cigna HealthCare of Florida, Inc., Florida Blue (BlueCross BlueShield FL) and more.Insurance ›

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

Kristin Maclao Arnp 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 ID9335523554
PECOS Enrollment IDI20220907000568
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

4

Medicare enrollment records show Kristin Maclao reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Mental Health Resource Center Inc
16 mi
Community Health
11820 BEACH BLVD
Jacksonville, FL 32246
  • Reassigned Medicare billing, Florida enrollment
  • 30 clinicians in this Medicare group
NPI 1851407365 (904) 642-9100
Florida Center For Tms
17 mi
Psychiatry
17 SAINT JOHNS MEDICAL PARK DR
Saint Augustine, FL 32086
  • Reassigned Medicare billing, Florida enrollment
  • 8 clinicians in this Medicare group
NPI 1497278584 (833) 651-1990
Balanced Wellbeing LLC
77 mi
Psychiatry
3200 SW 34TH AVE STE 701
Ocala, FL 34474
  • Reassigned Medicare billing, Florida enrollment
  • 369 clinicians in this Medicare group
NPI 1336513639 (352) 445-1200
Mcr Health, Inc.
181 mi
Federally Qualified Health Center (FQHC)
12271 US HIGHWAY 301 N
Parrish, FL 34219
  • Reassigned Medicare billing, Florida enrollment
  • 709 clinicians in this Medicare group
NPI 1255376000 (941) 776-4050

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
58 services16 patients
Psychotherapy with evaluation and management visit, 30 minutes 90833
Psychotherapy with evaluation and management is a 30-minute session where a mental health professional talks with you about your concerns and feelings. They assess your mental health, provide support, and manage your treatment plan to help improve your well-being.
33 services15 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32081 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.

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 Maclao's NPI number?

The NPI number for Kristin Maclao is 1699409318. It was assigned to this individual provider in the NPPES registry on July 11, 2022.

Where is Kristin Maclao located?

Kristin Maclao practices at 145 Hilden Rd Ste 120, Ponte Vedra, FL 32081. The listed phone number is (833) 651-1990.

What is Kristin Maclao's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Kristin Maclao enrolled in Medicare?

Yes. Kristin Maclao 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 Kristin Maclao's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kristin Maclao reassigns Medicare benefits to 4 organizations: Mental Health Resource Center Inc (Jacksonville, FL), Florida Center For Tms (Saint Augustine, FL), Balanced Wellbeing LLC (Ocala, FL) and Mcr Health, Inc. (Parrish, FL). 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 Kristin Maclao's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kristin Maclao accept?

Health plans from Cigna HealthCare of Florida, Inc., Cigna Healthcare, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and Oscar Health Maintenance Organization of Florida and 1 other insurer list Kristin Maclao as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kristin Maclao was last updated on April 12, 2024. 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.