MACDALY OWENS FNP, RN
NPI 1912313602
Nurse Practitioner - Family in Yucaipa, CA

Active since July 02, 2014PECOS EnrolledAccepts Medicare Assignment
33758 YUCAIPA BLVD STE B, YUCAIPA, CA 92399(909) 795-9747 Get Directions Write a Review

NPPES record last updated: October 30, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 21, 2019, Aug 13, 2018, Nov 30, 2015 (3 updates tracked since 2015).

About Macdaly Owens Fnp, Rn NPPES

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

MACDALY OWENS FNP, RN (NPI 1912313602) is an individual family provider in Yucaipa, California, licensed in New York (F338930) and active in the NPI registry since July 2014. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1912313602
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMACDALY OWENSCredential: FNP, RN
Location Address33758 YUCAIPA BLVD STE BYucaipa, CA 92399-2243
Mailing AddressPo Box 35380Las Vegas, NV 89133-5380
Sole ProprietorYes
Medical School CMSOtherGraduated 2014
Enumeration DateJuly 2, 2014
Last NPPES UpdateOctober 30, 20253 updates tracked since enumeration
NPPES CertifiedOctober 30, 2025
NPI 1912313602 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Licenses Licensed in NY · F338930 Licensed in CA · 95025689
Also ListedRegistered NurseTaxonomy 163W00000X · License 546767 (NY)
33758 YUCAIPA BLVD STE B, Yucaipa, CA 92399

Secondary Practice Locations 2

Location 142-09 28th street 11th floor, Gotham Center CN 25Long Island City, NY 11101 · Phone (347) 396-4716
Location 22015 Grand ConcourseBronx, NY 10453 · Phone (718) 299-7295

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

Macdaly Owens Fnp, Rn 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 ID749584084
PECOS Enrollment IDI20231019001858
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 92399 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
$91.88 typical visit price
range $59.60 – $179.42
Typical copayment $22.97 (range $14.90 – $44.85)
Most-billed visit code 99203
Established Patient
$104.64 typical visit price
range $19.37 – $146.42
Typical copayment $26.16 (range $4.84 – $36.60)
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.

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 Macdaly Owens's NPI number?

The NPI number for Macdaly Owens is 1912313602. It was assigned to this individual provider in the NPPES registry on July 2, 2014.

Where is Macdaly Owens located?

Macdaly Owens practices at 33758 Yucaipa Blvd Ste B, Yucaipa, CA 92399. The listed phone number is (909) 795-9747.

What is Macdaly Owens's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Macdaly Owens enrolled in Medicare?

Yes. Macdaly Owens 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.

When was this NPI record last updated?

The NPPES record for Macdaly Owens was last updated on October 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.