DR. KAISHAWN D. MCDUFFIE NP
NPI 1720604481
Nurse Practitioner in San Luis Obispo, CA

Q: What is Kaishawn Mcduffie's NPI number?

The NPI number for Kaishawn Mcduffie is 1720604481. It was assigned to this individual provider in the NPPES registry on June 18, 2020.

Q: What is Kaishawn Mcduffie's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Kaishawn Mcduffie was last updated on August 23, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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 June 18, 2020PECOS Enrolled

77 CASA ST STE 201, SAN LUIS OBISPO, CA 93405(805) 269-1500(805) 269-1585 Get Directions Write a Review

NPPES record last updated: August 23, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 23, 2022, Aug 21, 2022, Nov 5, 2021 and 1 more (4 updates tracked since 2020).

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About Dr. Kaishawn D. Mcduffie Np NPPES

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

DR. KAISHAWN D. MCDUFFIE NP (NPI 1720604481) is an individual nurse practitioner in San Luis Obispo, California, licensed in California (95018838) and active in the NPI registry since June 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1720604481

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameDR. KAISHAWN D. MCDUFFIECredential: NP

Location Address77 CASA ST STE 201San Luis Obispo, CA 93405-5806

Mailing Address2050 S Blosser RdSanta Maria, CA 93458-7310 · (805) 361-8030 · Fax (805) 361-8097

Phone(805) 269-1500

Fax(805) 269-1585

Sole ProprietorNo

Enumeration DateJune 18, 2020

Last NPPES UpdateAugust 23, 20224 updates tracked since enumeration

NPPES CertifiedAugust 23, 2022

✔ NPI 1720604481 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

License✔ Licensed in CA · 95018838

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 ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

77 CASA ST STE 201, San Luis Obispo, CA 93405

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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 (PECOS)

Dr. Kaishawn D. Mcduffie Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 93405 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

$91.64 typical visit price

range $59.84 – $178.89

Typical copayment $22.91 (range $14.96 – $44.72)

Most-billed visit code 99203

Established Patient

$104.82 typical visit price

range $19.70 – $146.55

Typical copayment $26.20 (range $4.92 – $36.63)

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 5

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

MRS. TINA LISA HECK PA-C

Physician Assistant