MISTY DAWN MACKINSON FNP-C
NPI 1932868486
Nurse Practitioner - Family in Indianapolis, IN

Active since December 13, 2021PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
1330 W SOUTHPORT RD, INDIANAPOLIS, IN 46217(317) 884-4256 Get Directions Write a Review

NPPES record last updated: August 26, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 26, 2022, Dec 13, 2021 (2 updates tracked since 2021).

About Misty Dawn Mackinson Fnp-c NPPES

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

MISTY DAWN MACKINSON FNP-C (NPI 1932868486) is an individual family provider in Indianapolis, Indiana, licensed in Indiana (71012983A) and active in the NPI registry since December 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1932868486
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMISTY DAWN MACKINSONCredential: FNP-C
Location Address1330 W SOUTHPORT RDIndianapolis, IN 46217-5301
Mailing Address2620 Elm Hill PikeNashville, TN 37214-3108 · (615) 425-4200
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateDecember 13, 2021
Last NPPES UpdateAugust 26, 20222 updates tracked since enumeration
NPPES CertifiedAugust 1, 2022
NPI 1932868486 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in IN · 71012983A
Also ListedRegistered NurseTaxonomy 163W00000X · License 28216430A (IN)
Also ListedPharmacy TechnicianTaxonomy 183700000X · License 67008022A (IN)
1330 W SOUTHPORT RD, Indianapolis, IN 46217

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

Misty Dawn Mackinson Fnp-c 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 ID9032587456
PECOS Enrollment IDI20221116001109
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.

Areas of Expertise CMS Part B claims 4

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.
32 services28 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
28 services28 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
28 services28 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.
14 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46217 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
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 4

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

Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
1330 W SOUTHPORT RD
INDIANAPOLIS, IN 46217
Nurse Practitioner (Family)
1330 W SOUTHPORT RD
INDIANAPOLIS, IN 46217
Pharmacist
1330 W SOUTHPORT RD
INDIANAPOLIS, IN 46217
Pharmacy (Community/Retail Pharmacy)
1330 W SOUTHPORT RD
INDIANAPOLIS, IN 46217

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 Misty Mackinson's NPI number?

The NPI number for Misty Mackinson is 1932868486. It was assigned to this individual provider in the NPPES registry on December 13, 2021.

Where is Misty Mackinson located?

Misty Mackinson practices at 1330 W Southport Rd, Indianapolis, IN 46217. The listed phone number is (317) 884-4256.

What is Misty Mackinson's specialty?

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

Is Misty Mackinson enrolled in Medicare?

Yes. Misty Mackinson 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 Misty Mackinson was last updated on August 26, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.