Individual provider Active NPI

Kayleigh Ann Macgillivray, NP

  • Family Nurse Practitioner
  • Newport Beach, CA
National Provider Identifier
1245637982
Registry record updated Feb 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN2260248 Issued in MA
Practice address
4695 Macarthur CT
Newport Beach, CA 92660-1882
Phone
(949) 649-4093
Fax
(949) 818-5372
NPI assigned
Nov 24, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN2260248 MA Primary

Addresses

Primary practice location

4695 Macarthur CT
Newport Beach, CA 92660-1882

Mailing address

960 Massachusetts Ave
FL 2
Boston, MA 02118-2690
Phone (617) 414-5405

Other identifiers 2

IdentifierTypeStateIssuer
110102744AMedicaidMA
3125485MedicaidNH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150204001297 MA Practitioner - Nurse Practitioner 2769707280 Reassigns benefits to 4 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN2260248MAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Internal Medical Associates-Ebnhc CurrentSince Jan 6, 2015 Accepting new patients
Neighborhealth Corporation CurrentSince Jan 6, 2015 Accepting new patients
Boston Medical Center Corporation Current Accepting new patients
KBS Medical PA CurrentSince Feb 27, 2026 Accepting new patients

Locations

960 Massachusetts Ave
Ste 2
Boston, MA 02118

529 Main St
Ste 200
Charlestown, MA 02129
Phone (617) 294-9143

10 Grove St
East Boston, MA 02128
Phone (617) 569-5800

111 Congress Ave
Ste 500
Austin, TX 78701
Phone (323) 597-3198

Interoperability endpoints

  • Direct secure messaging: kayleigh.macgillivray@782082497118212.direct.elationemr.com
  • Direct secure messaging: kmacgillivray86621@direct.bmc.masshiway.net

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1416787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769990400000",
    "number": "1245637982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "960 MASSACHUSETTS AVE",
            "address_2": "FL 2",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021182690",
            "telephone_number": "617-414-5405",
            "fax_number": "617-414-6031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4695 MACARTHUR CT",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926601882",
            "telephone_number": "949-649-4093",
            "fax_number": "949-818-5372"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACGILLIVRAY",
        "first_name": "KAYLEIGH",
        "middle_name": "ANN",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-11-24",
        "last_updated": "2026-02-02",
        "certification_date": "2026-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MA",
            "license": "RN2260248",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110102744A",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3125485",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport Beach, CA

Sources for this page

Verify at the official NPI Registry.