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

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: November 08, 2026.

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
Open in Google Maps ↗

Other Identifiers 1

OtherAPRN11030321FL · Florida Aprn Lic

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Ambetter of Alabama 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 (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.

Medicare Billing Reassignments

2

Medicare enrollment records show Kimberly Mackay reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

University Of Florida Jacksonville Physicians Inc
Same address
Diagnostic Radiology
655 W 8TH ST, UFJP RADIOLOGY
Jacksonville, FL 32209
  • Reassigned Medicare billing, Florida enrollment
  • 1,456 clinicians in this Medicare group
NPI 1326208695 (904) 244-3660
Shannon Clinic
1,115 mi
Rural Health
201 E ARIZONA AVE
Sweetwater, TX 79556
  • Reassigned Medicare billing, Texas enrollment
  • 671 clinicians in this Medicare group
NPI 1093051401 (325) 235-8641

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

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
655 W 8TH ST
JACKSONVILLE, FL 32209
Duval County (904) 244-4195
DR. MARYAM OOJA ABUBAKAR MD, MPH
Pediatrics (Neonatal-Perinatal Medicine)
655 W 8TH ST
JACKSONVILLE, FL 32209
Duval County (904) 244-3508
CHRISTOPHER FULLER PT, DPT
Physical Therapist
655 W 8TH ST
JACKSONVILLE, FL 32209
Duval County (904) 244-0411
WILLIAM RENFRO PHARM. D.
Pharmacist
655 W 8TH ST
JACKSONVILLE, FL 32209
Duval County (904) 244-2179
CAM-TU NGUYEN PHARMD
Pharmacist
655 W 8TH ST
JACKSONVILLE, FL 32209
Duval County (352) 682-4355
LOGAN SMITH PHARMD
Pharmacist
655 W 8TH ST
JACKSONVILLE, FL 32209
Duval County (478) 387-5570
HANNAH BISOGLIO
Student in an Organized Health Care Education/Training Program
655 W 8TH ST
JACKSONVILLE, FL 32209
Duval County (904) 244-0411
DR. CARMELA MONTEIRO MD
Pathology (Anatomic Pathology)
655 W 8TH ST, UFJP PATHOLOGY DEPT
JACKSONVILLE, FL 32209
Duval County (904) 244-4699

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 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.

Where is Kimberly Mackay located?

Kimberly Mackay practices at 655 W 8th St, Jacksonville, FL 32209. The listed phone number is (904) 244-3508.

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.

Is Kimberly Mackay enrolled in Medicare?

Yes. Kimberly Mackay is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Kimberly Mackay's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kimberly Mackay reassigns Medicare benefits to 2 organizations: University Of Florida Jacksonville Physicians Inc (Jacksonville, FL) and Shannon Clinic (Sweetwater, TX). 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 Kimberly Mackay's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kimberly Mackay accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, Antidote Health of TX and Blue Cross and Blue Shield of Texas and 1 other insurer list Kimberly Mackay 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 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.