MACKENZIE AILEEN MIRANDA PADILLA
NPI 1740153196
Nurse Practitioner - Psychiatric/Mental Health in Tavares, FL

Q: What is Mackenzie Miranda Padilla's NPI number?

The NPI number for Mackenzie Miranda Padilla is 1740153196. It was assigned to this individual provider in the NPPES registry on September 23, 2025.

Q: What is Mackenzie Miranda Padilla's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Active since September 23, 2025PECOS EnrolledAccepts Medicare Assignment

1799 SALK AVE, TAVARES, FL 32778(352) 742-8300 Get Directions Write a Review

NPPES record last updated: March 10, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Mackenzie Aileen Miranda Padilla NPPES

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

MACKENZIE AILEEN MIRANDA PADILLA (NPI 1740153196) is an individual psychiatric/mental health provider in Tavares, Florida, licensed in Florida (11041035) and active in the NPI registry since September 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1740153196

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameMACKENZIE AILEEN MIRANDA PADILLA

Location Address1799 SALK AVETavares, FL 32778-4311

Mailing Address1799 Salk AveTavares, FL 32778-4311

Phone(352) 742-8300

Sole ProprietorNo

Medical School CMSOtherGraduated 2025

Enumeration DateSeptember 23, 2025

Last NPPES UpdateMarch 10, 2026

NPPES CertifiedMarch 10, 2026

✔ NPI 1740153196 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 · 11041035

1799 SALK AVE, Tavares, FL 32778

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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

Mackenzie Aileen Miranda Padilla 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 ID7416440466

PECOS Enrollment IDI20251208001162

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 32778 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 10

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

MRS. ELSIE H BOWMAN LCSW

Counselor (Mental Health)