KAITLINN PATRICIA MACIEISKI MD
NPI 1790245454
Family Medicine in Fort Campbell, KY
About Kaitlinn Patricia Macieiski Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KAITLINN PATRICIA MACIEISKI MD (NPI 1790245454) is an individual family medicine provider in Fort Campbell, Kentucky, licensed in Louisiana (324918) and active in the NPI registry since March 2019. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Kaitlinn Patricia Macieiski Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Kaitlinn Macieiski reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Bogalusa, LA 70427
- Reassigned Medicare billing, Louisiana enrollment
- 209 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 42223 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
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.
FORT CAMPBELL, KY 42223
FORT CAMPBELL, KY 42223
FORT CAMPBELL, KY 42223
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 Kaitlinn Macieiski's NPI number?
The NPI number for Kaitlinn Macieiski is 1790245454. It was assigned to this individual provider in the NPPES registry on March 20, 2019.
Where is Kaitlinn Macieiski located?
Kaitlinn Macieiski practices at 650 Joel Dr, Fort Campbell, KY 42223. The listed phone number is (270) 798-8400.
What is Kaitlinn Macieiski's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Kaitlinn Macieiski enrolled in Medicare?
Yes. Kaitlinn Macieiski is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Kaitlinn Macieiski's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kaitlinn Macieiski reassigns Medicare benefits to Rapid Urgent Care, Inc (Bogalusa, LA). 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 Kaitlinn Macieiski's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Kaitlinn Macieiski was last updated on June 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Kaitlinn Patricia Macieiski, MD · NPI 1790245454
Family Medicine physician in Fort Campbell, Kentucky. Individual provider, active in the CMS NPPES registry since March 20, 2019.
## Identity
- **NPI:** 1790245454 (Entity type: Individual)
- **Enumerated:** March 20, 2019
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 324918 (Louisiana)
- **Sole proprietor:** No
## Practice location
- **Address:** 650 JOEL DR, Fort Campbell, KY 42223-8355
- **Phone:** (270) 798-8400
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Rapid Urgent Care, Inc (NPI 1841851110, Bogalusa, LA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 10, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1790245454) · Data from the CMS NPPES public registry.