MACEY MCSWAIN KENNERLY PMHNP-BC - NPI 1699593699 - Nurse Practitioner in Gastonia, NC

Q: What is Macey Kennerly's NPI number?

The NPI number for Macey Kennerly is 1699593699. It was assigned to this individual provider in the NPPES registry on September 30, 2024.

Q: What is Macey Kennerly'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 Macey Kennerly was last updated on July 23, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Macey Mcswain Kennerly Pmhnp-bc NPPES

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

MACEY MCSWAIN KENNERLY PMHNP-BC (NPI 1699593699) is an individual psychiatric/mental health provider in Gastonia, North Carolina, licensed in North Carolina (5021152) and active in the NPI registry since September 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1699593699

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameMACEY MCSWAIN KENNERLYCredential: PMHNP-BC

Location Address1089 X RAY DRGastonia, NC 28054-7489

Mailing Address1089 X Ray DrGastonia, NC 28054-7489 · (828) 707-0409 · Fax (833) 917-0055

Phone(828) 707-0409

Fax(833) 917-0055

Sole ProprietorYes

Medical School CMSOtherGraduated 2020

Enumeration DateSeptember 30, 2024

Last NPPES UpdateJuly 23, 20263 updates tracked since enumeration

NPPES CertifiedJuly 23, 2026

✔ NPI 1699593699 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

Licenses✔ Licensed in NC · 5021152✔ Licensed in NC · 2020042132

Also ListedRegistered NurseTaxonomy 163W00000X · License 292152 (NC)

1089 X RAY DR, Gastonia, NC 28054

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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

Macey Mcswain Kennerly Pmhnp-bc 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 ID5496282014

PECOS Enrollment IDI20241220001316

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 28054 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

$83.90 typical visit price

range $54.12 – $165.09

Typical copayment $20.97 (range $13.53 – $41.27)

Most-billed visit code 99203

Established Patient

$95.94 typical visit price

range $17.21 – $134.61

Typical copayment $23.98 (range $4.30 – $33.65)

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 9

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

ASPEN INVESTMENT GROUP

Clinic/Center (Rehabilitation, Substance Use Disorder)