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

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: October 18, 2026.

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
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

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignment

Medicare enrollment records show Mackenzie Miranda Padilla reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Psychiatry
1799 SALK AVE
Tavares, FL 32778
  • Reassigned Medicare billing, Florida enrollment
  • 9 clinicians in this Medicare group

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 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 9

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

Counselor (Mental Health)
1799 SALK AVE
TAVARES, FL 32778
Psychiatry & Neurology (Psychiatry)
1799 SALK AVE
TAVARES, FL 32778
Counselor (Mental Health)
1799 SALK AVE
TAVARES, FL 32778
Nurse Practitioner (Psychiatric/Mental Health)
1799 SALK AVE
TAVARES, FL 32778
Psychologist (Clinical)
1799 SALK AVE
TAVARES, FL 32778
Counselor (Mental Health)
1799 SALK AVE
TAVARES, FL 32778
Psychiatry & Neurology (Child & Adolescent Psychiatry)
1799 SALK AVE
TAVARES, FL 32778
Nurse Practitioner (Psychiatric/Mental Health)
1799 SALK AVE
TAVARES, FL 32778

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 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.

Where is Mackenzie Miranda Padilla located?

Mackenzie Miranda Padilla practices at 1799 Salk Ave, Tavares, FL 32778. The listed phone number is (352) 742-8300.

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.

Is Mackenzie Miranda Padilla enrolled in Medicare?

Yes. Mackenzie Miranda Padilla is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Mackenzie Miranda Padilla's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mackenzie Miranda Padilla reassigns Medicare benefits to Advanced Behavioral Health Center PA (Tavares, FL). The 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 Mackenzie Miranda Padilla's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mackenzie Miranda Padilla accept?

Health plans from Cigna HealthCare of Florida, Inc., Cigna Healthcare, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and Oscar Health Maintenance Organization of Florida and 1 other insurer list Mackenzie Miranda Padilla 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 Mackenzie Miranda Padilla was last updated on March 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months 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.