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DR. HAILEY WILSON MCKINLEY DDS, MSD
NPI 1922681337
Dentist - Periodontics in St Augustine, FL

Active since May 03, 2021Opted out of Medicare · through Jun 11, 2028
10 SAINT JOHNS MEDICAL PARK DR STE C, ST AUGUSTINE, FL 32086(904) 794-1000 Get Directions Write a Review

NPPES record last updated: May 10, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 10, 2021, May 3, 2021 (2 updates tracked since 2021).

About Dr. Hailey Wilson Mckinley Dds, Msd NPPES

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

DR. HAILEY WILSON MCKINLEY DDS, MSD (NPI 1922681337) is an individual periodontics provider in St Augustine, Florida, licensed in Florida (25687) and active in the NPI registry since May 2021. She has opted out of Medicare through June 11, 2028.

NPPES Registry Identity

NPI1922681337
Entity TypeIndividualFemale
Primary Taxonomy1223P0300X
Provider Legal NameDR. HAILEY WILSON MCKINLEYCredential: DDS, MSD
Location Address10 SAINT JOHNS MEDICAL PARK DR STE CSt Augustine, FL 32086-5202
Mailing Address42 Bird Island DrSt Augustine, FL 32080-6204 · (812) 661-0931
Phone(904) 794-1000
Sole ProprietorNo
Enumeration DateMay 3, 2021
Last NPPES UpdateMay 10, 20212 updates tracked since enumeration
NPPES CertifiedMay 10, 2021
✔ NPI 1922681337 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · PeriodonticsDental Providers
Taxonomy Code1223P0300X
License✔ Licensed in FL · 25687
Definition
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
10 SAINT JOHNS MEDICAL PARK DR STE C, St Augustine, FL 32086
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

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Opted out of Medicare

Dr. Hailey Wilson Mckinley Dds, Msd has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from June 11, 2024 through June 11, 2028.

Opt-Out Effective DateJune 11, 2024
Opt-Out In Effect ThroughJune 11, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 3

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

DR. ROBERT EV KELLEY III D.M.D., M.S.
Dentist (Periodontics)
10 SAINT JOHNS MEDICAL PARK DR STE C
SAINT AUGUSTINE, FL 32086
St. Johns County (904) 467-5507
DR. JESSICA KOSTER DDS
Dentist (Periodontics)
10 SAINT JOHNS MEDICAL PARK DR STE C
ST AUGUSTINE, FL 32086
St. Johns County (210) 450-3715
FLORIDA SEDATION, IMPLANT AND DENTAL SURGERY ASSOCIATES, LLC
Dentist (Periodontics)
10 SAINT JOHNS MEDICAL PARK DR STE C
SAINT AUGUSTINE, FL 32086
St. Johns County (904) 794-1000

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 Hailey Mckinley's NPI number?

The NPI number for Hailey Mckinley is 1922681337. It was assigned to this individual provider in the NPPES registry on May 3, 2021.

Where is Hailey Mckinley located?

Hailey Mckinley practices at 10 Saint Johns Medical Park Dr Ste C, St Augustine, FL 32086. The listed phone number is (904) 794-1000.

What is Hailey Mckinley's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

Is Hailey Mckinley enrolled in Medicare?

No. Hailey Mckinley has opted out of Medicare through June 11, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Hailey Mckinley was last updated on May 10, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.