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

Q: 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.

Q: 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.

Q: 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.

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: August 09, 2026.

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

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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

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Oscar Health Maintenance Organization of Florida and more.Insurance ›

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 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.

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.

Other Providers at the Same Location NPPES

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

ELIZABETH J MARQUEZ M.D.

Family Medicine

145 HILDEN RD STE 120
PONTE VEDRA, FL 32081

St. Johns County (904) 460-6064

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.

What insurance does Kristin Maclao accept?

Health plans from Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Oscar Health Maintenance Organization of Florida and UnitedHealthcare 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.