Active NPI
Nancy Marlene Mackey, PA
- Physician Assistant
- Homer, AK
National Provider Identifier
1790853331
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 211
- Practice address
- 4201 Bartlett St Ste 202
Homer, AK 99603-7004 - Phone
- (907) 235-7000
- Fax
- (907) 235-4050
- NPI assigned
- Dec 1, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 211 | AK | Primary |
Addresses
Primary practice location
4201 Bartlett St Ste 202
Homer, AK 99603-7004
Mailing address
PO Box 1222
Soldotna, AK 99669-1222
Phone (907) 235-7000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kachemak Bay Medical Clinic | Past | Accepting new patients | |
| Homer Medical Clinic, a Professional Corp | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Family Medicine Physician
- Homer, AK
- NPI 1134277312
-
- Family Medicine Physician
- Homer, AK
- NPI 1770651762
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164931200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1790853331",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1222",
"city": "SOLDOTNA",
"state": "AK",
"postal_code": "996691222",
"telephone_number": "907-235-7000",
"fax_number": "907-235-4050"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4201 BARTLETT ST STE 202",
"city": "HOMER",
"state": "AK",
"postal_code": "996037004",
"telephone_number": "907-235-7000",
"fax_number": "907-235-4050"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MACKEY",
"first_name": "NANCY",
"middle_name": "MARLENE",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-01",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "AK",
"license": "211",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Homer, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.