Kendra Kay Hackney, FNP in Mckinleyville, CA - Medicare Nurse Practitioner

Kendra Kay Hackney, FNP is a medicare enrolled "Nurse Practitioner - Family" in Mckinleyville, California. She graduated from nursing school in 2010 and has 14 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Open Door Community Health Centers and her current practice location is 1644 Central Ave, Mckinleyville, California. You can reach out to her office (for appointments etc.) via phone at (707) 839-3068.

Kendra Kay Hackney is licensed to practice in California (license number 95027800) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1053612697.

Contact Information

	Kendra Kay Hackney, FNP
	1644 Central Ave, Mckinleyville, CA 95519-4342
	(707) 839-3068
	(707) 839-3827

Map and Direction

Provider's Profile

Full Name	Kendra Kay Hackney
Gender	Female
Speciality	Nurse Practitioner
Experience	14 Years
Location	1644 Central Ave, Mckinleyville, California
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Kendra Kay Hackney graduated from nursing school in 2010

NPI Data:

NPI Number: 1053612697
Provider Enumeration Date: 11/13/2010
Last Update Date: 08/29/2024

Medicare PECOS Information:

PECOS PAC ID: 8820272230
Enrollment ID: I20240319000810

Medical Identifiers

Medical identifiers for Kendra Kay Hackney such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1053612697	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	95027800 (California)	Primary
163WG0000X	Registered Nurse - General Practice	95354760 (California)	Secondary
363LF0000X	Nurse Practitioner - Family	F0910261 (Minnesota)	Secondary
363LF0000X	Nurse Practitioner - Family	CNP2597 (Minnesota)	Secondary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Mad River Community Hospital	Arcata, CA	Hospital
St Joseph Hospital	Eureka, CA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Open Door Community Health Centers	9436067485	92

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Kendra Kay Hackney allows following entities to bill medicare on her behalf.

Entity Name	Open Door Community Health Centers
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1497840656 PECOS PAC ID: 9436067485 Enrollment ID: O20040414000890

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kendra Kay Hackney is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Kendra Kay Hackney, FNP 1275 8th St, Arcata, CA 95521-5770 Ph: (707) 826-8633	Kendra Kay Hackney, FNP 1644 Central Ave, Mckinleyville, CA 95519-4342 Ph: (707) 839-3068

Reviews and Comments

Nurse Practitioner Nurses in Mckinleyville, CA

Reilley Mullin, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1644 Central Avenue, Suite F, Mckinleyville, CA 95519 Phone: 707-839-3068 Fax: 707-839-3827
Mrs. Chantal Madeleine Lobue, FNP/PAC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1735 Central Ave, Mckinleyville, CA 95519 Phone: 707-839-4349 Fax: 707-839-4124
Laura Lynn Lyons, A.R.N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1644 Central Ave, Mckinleyville, CA 95519 Phone: 707-839-3068 Fax: 707-839-3827
Mrs. Nina Bleue Goodwin, F.N.P. Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1644 Central Ave, Mckinleyville, CA 95519 Phone: 707-839-3068 Fax: 707-839-3827
Ms. Margaret Jean Mahon, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2449 Bolier Ave, Mckinleyville, CA 95519 Phone: 707-633-6384
Shoua Lor, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1644 Central Ave, Mckinleyville, CA 95519 Phone: 707-839-3068

Kendra Kay Hackney, FNP - Medicare Nurse Practitioner in Mckinleyville, CA