CECILIA MCDONALD ARNP
NPI 1922543966
Nurse Practitioner - Adult Health in Winter Haven, FL

Q: What is Cecilia Mcdonald's NPI number?

The NPI number for Cecilia Mcdonald is 1922543966. It was assigned to this individual provider in the NPPES registry on December 29, 2016.

Q: What is Cecilia Mcdonald's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Q: When was this NPI record last updated?

The NPPES record for Cecilia Mcdonald was last updated on August 20, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.

Active since December 29, 2016PECOS EnrolledAccepts Medicare Assignment

64.82/100

CMS Quality Rating

635 1ST ST N, WINTER HAVEN, FL 33881(863) 294-0670(863) 298-3200 Get Directions Write a Review

NPPES record last updated: August 20, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 20, 2019, Apr 17, 2017, Jan 26, 2017 and 1 more (4 updates tracked since 2016).

On this page

About Cecilia Mcdonald Arnp NPPES

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

CECILIA MCDONALD ARNP (NPI 1922543966) is an individual adult health provider in Winter Haven, Florida, licensed in Florida (ARNP 9327267) and active in the NPI registry since December 2016. She is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1922543966

Entity TypeIndividualFemale

Primary Taxonomy363LA2200X

Provider Legal NameCECILIA MCDONALDCredential: ARNP

Location Address635 1ST ST NWinter Haven, FL 33881-4129

Mailing Address5907 Hillside Heights DrLakeland, FL 33812-3333 · (863) 581-3555

Phone(863) 294-0670

Fax(863) 298-3200

Sole ProprietorYes

Medical School CMSOtherGraduated 2016

Enumeration DateDecember 29, 2016

Last NPPES UpdateAugust 20, 20194 updates tracked since enumeration

✔ NPI 1922543966 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2200X

License✔ Licensed in FL · ARNP 9327267

635 1ST ST N, Winter Haven, FL 33881

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, 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 and accepts Medicare assignment

Cecilia Mcdonald Arnp 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 ID1052696135

PECOS Enrollment IDI20251217003071

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

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

Nautilus Health Care Group LLC

65 mi

Undersea and Hyperbaric Medicine

250 N WICKHAM RD
Melbourne, FL 32935

Reassigned Medicare billing, Florida enrollment
123 clinicians in this Medicare group

NPI 1912013558 (321) 676-2012

Wellstar Medical Group, LLC

422 mi

Internal Medicine

3885 PRINCETON LAKES WAY SW, SUITE 300
Atlanta, GA 30331

Reassigned Medicare billing, Georgia enrollment
3,885 clinicians in this Medicare group

NPI 1205267192 (404) 344-0059

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

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

624 services368 patients

Smoking and tobacco use intensive counseling, 4-10 minutes 99406

This service provides brief, intensive counseling (4-10 minutes) to support you in quitting smoking or tobacco use. It involves discussing the risks of tobacco use, benefits of quitting, and strategies to help you stop. It's a critical step towards a healthier lifestyle.

339 services198 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

223 services169 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

72 services72 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

32 services32 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33881 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.

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.

64.82/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

100

Promoting Interoperability

Improvement Activities

Cost

78.59

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.

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