Meghan Ann MC Mackin, ARNP

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

33624.1314 Issued in WY

Practice address

2620 Commercial Way Ste 20
Rock Springs, WY 82901-4705

Phone

(307) 212-6270

NPI assigned

Jun 15, 2006

Last updated

Feb 27, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in AL, FL2 enrollments

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 2

Specialty

Nurse Practitioner

Education

Other, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mid-South Palliative Services LLCGroup PAC ID 9234674375, 8 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Centerwell Home Health Home health agency, Shalimar, FL, CCN 107240
• North Okaloosa Medical Center Hospital, Crestview, FL, CCN 100122

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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

• Mid-South Palliative Services, LLC

  dba Emerald Coast Palliative Care

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • Pensacola, FL
  • NPI 1306351275
  Medicare reassignment Care Compare group
• Acts Signature Community Services, Inc.

  dba Primary Care Services at Azalea Trace

  • Internal Medicine Physician
  • Pensacola, FL
  • NPI 1215326335
  Medicare reassignment NPD
• Emergency Services of Montgomery PC

  • Emergency Medicine Physician
  • Prattville, AL
  • NPI 1528310323
  Medicare reassignment NPD
• Acts Retirement-Life Communities, Inc.

  dba Primary Care Services at Azalea Trace

  • Internal Medicine Physician
  • Pensacola, FL
  • NPI 1710855358
  NPD
• Acts Signature Community Services, Inc.

  dba Primary Care Services at Westminster Village

  • Internal Medicine Physician
  • Spanish Fort, AL
  • NPI 1427756303
  NPD
• Inphynet Primary Care Physicians Southeast PC

  • Emergency Medicine Physician
  • Columbus, GA
  • NPI 1770521460
  NPD (past)
• Montgomery Cardiovascular Associates, P.C.

  • Cardiovascular Disease Physician
  • Montgomery, AL
  • NPI 1336179316
  NPD (past)
• Wellstar Health System, Inc.

  • Point of Service
  • Marietta, GA
  • NPI 1437219656
  NPD (past)
• Wellstar Medical Group, LLC

  dba WellStar South Cobb Primary Care

  • Internal Medicine Physician
  • Austell, GA
  • NPI 1508162173
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Centerwell Health Services (Certified), Inc.

  dba Centerwell Home Health

  • Home Health Agency
  • Shalimar, FL
  • NPI 1518991215
  Care Compare affiliation Name & address match
• Crestview Hospital Company, LLC

  dba North Okaloosa Medical Center

  • General Acute Care Hospital
  • Crestview, FL
  • NPI 1104897859
  Care Compare affiliation

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

{
    "created_epoch": "1150329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551225600000",
    "number": "1316981798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2620 COMMERCIAL WAY STE 20",
            "city": "ROCK SPRINGS",
            "state": "WY",
            "postal_code": "829014705",
            "telephone_number": "307-212-6270",
            "fax_number": "307-786-4016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2620 COMMERCIAL WAY STE 20",
            "city": "ROCK SPRINGS",
            "state": "WY",
            "postal_code": "829014705",
            "telephone_number": "307-212-6270"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3580 State Highway 414",
            "address_purpose": "LOCATION",
            "city": "Lyman",
            "state": "WY",
            "postal_code": "829370865",
            "country_code": "US",
            "telephone_number": "307-786-2042",
            "fax_number": "307-786-4016",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MC MACKIN",
        "first_name": "MEGHAN",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-15",
        "last_updated": "2019-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "WY",
            "license": "33624.1314",
            "primary": true
        },
        {
            "code": "364S00000X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist",
            "state": "WY",
            "license": "33624.1314",
            "primary": false
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "WY",
            "license": "33624.1314",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Frederick L Matti, M.D.
• Decker Mattimoe, DPT
• Preslee Jane Mattimoe, DC
• Kimberly May
• Lauren Mayer
• Alex McCurtain
• Deyda McCurtain
• Dana McGuire
• Kade McJunkin, DPT
• Ronald James McKee, MD

• Adult Health Nurse Practitioner in Rock Springs, WY
• Providers in Rock Springs, WY by specialty
• Adult Health Nurse Practitioner in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.