KIMBERLY DIANE MACKAY NNP
NPI 1730727314
Nurse Practitioner - Neonatal, Critical Care in Jacksonville, FL

Q: What is Kimberly Mackay's NPI number?

The NPI number for Kimberly Mackay is 1730727314. It was assigned to this individual provider in the NPPES registry on December 14, 2019.

Q: What is Kimberly Mackay's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Neonatal, Critical Care, with taxonomy code 363LN0005X.

Q: When was this NPI record last updated?

The NPPES record for Kimberly Mackay was last updated on January 30, 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 December 14, 2019PECOS Enrolled

655 W 8TH ST, JACKSONVILLE, FL 32209(904) 244-3508(904) 244-4301 Get Directions Write a Review

NPPES record last updated: January 30, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Kimberly Diane Mackay Nnp NPPES

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

KIMBERLY DIANE MACKAY NNP (NPI 1730727314) is an individual neonatal, critical care provider in Jacksonville, Florida, licensed in Florida (APRN11030321) and active in the NPI registry since December 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1730727314

Entity TypeIndividualFemale

Primary Taxonomy363LN0005X

Provider Legal NameKIMBERLY DIANE MACKAYCredential: NNP

Location Address655 W 8TH STJacksonville, FL 32209-6511

Mailing AddressPo Box 44008Jacksonville, FL 32231-4008 · (904) 244-3508 · Fax (904) 244-4301

Phone(904) 244-3508

Fax(904) 244-4301

Sole ProprietorYes

Medical School CMSOtherGraduated 2019

Enumeration DateDecember 14, 2019

Last NPPES UpdateJanuary 30, 2024

NPPES CertifiedJanuary 30, 2024

✔ NPI 1730727314 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Neonatal, Critical CarePhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LN0005X

License✔ Licensed in FL · APRN11030321

Also ListedRegistered NurseTaxonomy 163W00000X · License 683428 (TX)

655 W 8TH ST, Jacksonville, FL 32209

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Other Identifiers 1

OtherAPRN11030321FL · Florida Aprn Lic

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kimberly Diane Mackay Nnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7113326869

PECOS Enrollment IDI20251104000019

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 32209 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 20

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

DR. MATTHEW DUWAIN WARRICK M.D.

Anesthesiology