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Active NPI 1649783754 Individual Practitioner Female Practitioner

Maxine Millicent King , NP-C

Nurse Practitioner • Fort Bragg, CA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Maxine King, NP-C is a certified Nurse Practitioner practicing in Fort Bragg, CA. With approximately 9 years of clinical experience since completing medical education in 2017, Maxine King delivers high-quality medical care to the local community at 700 RIVER DR.

Maxine King maintains professional affiliations with The Hospital Of Central Connecticut At New Britain General And Bradley, Adventist Health Mendocino Coast and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, new patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

700 River Dr

Fort Bragg, CA 954375403

Telephone 7079614922
Fax 7079614921
Associated Practice Facility / Clinic
🏢 John A. Kermen, D.o. Facility NPI 1134179302

Medicare Profile & Education

Medical School

Other

Graduation Year

2017

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Fort Bragg, CA

Experienced Practitioner (5-10 Yrs)
Practitioner Clinical Experience
9 Yrs -5.0 yrs vs City Avg
City Avg: 14.0 Yrs
State Avg: 11.7 Yrs
Regional Practice Density
5 Specialists

Practicing in Fort Bragg, CA (8378 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
58.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. King (9 Years) 9 Yrs
Fort Bragg Specialty Average (14.0 Years) 14.0 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2021)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes
182 131 $205.00 $61.41
99213 Established patient office or other outpatient visit, typically 15 minutes
155 96 $80.00 $56.34
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
107 70 $120.00 $83.66
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
43 36 $295.00 $90.64

Medical Specialties & State Licenses

CMS Verified: 2026-01-08
Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License CA 95028329

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Nurse Practitioner

NUCC Taxonomy Code: 363L00000X

State License MD AC003700

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Nurse Practitioner - Gerontology

NUCC Taxonomy Code: 363LG0600X

State License MD AC003700

Definition to come...

Nurse Practitioner

NUCC Taxonomy Code: 363L00000X

State License CT 12634

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID State License
APRN002718 (NV)

Hospital & Practice Group Affiliations

The Hospital Of Central Connecticut At New Britain General And Bradley

540 Litchfield St, Torrington, CT 067906679

Phone: 8604966825

Adventist Health Mendocino Coast

700 River Dr, Fort Bragg, CA 954375403

Phone: 7079611234

Secondary Practice Locations

291 Stoner Ave

Westminster, MD 211575647

Phone: 4108716400

2851 N Tenaya Way Ste 101

Las Vegas, NV 891280453

Phone: 7027357154

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
Dr. John Rochat , MD

Internal Medicine - Hematology & Oncology

NPI 1770508616

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

14 Historical Events
📍
Updated Practice Location January 08, 2026

Registered at 700 RIVER DR, FORT BRAGG, CA 954375403 (Tel: 7079614922)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 08, 2026

Nurse Practitioner (License #AC003700 in MD)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 11, 2025

Nurse Practitioner (License #12634 in CT)

📍
Updated Business Mailing Address July 21, 2025

Registered at 700 RIVER DR, FORT BRAGG, CA 954375403 (Tel: 7079614922)

👤
Provider Name / Credentials Updated July 21, 2025

Recorded as MAXINE KING, NP-C

📍
Updated Practice Location October 11, 2021

Registered at 291 STONER AVE, WESTMINSTER, MD 211575647 (Tel: 4108716400)

📍
Updated Business Mailing Address October 11, 2021

Registered at 291 STONER AVE, WESTMINSTER, MD 211575647 (Tel: 4108716400)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 11, 2021

Nurse Practitioner (License #AC003700 in MD)

NPI Profile Active November 10, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location November 10, 2017

Registered at 2851 N TENAYA WAY STE 101, LAS VEGAS, NV 891280453 (Tel: 7027357154)

📍
Updated Business Mailing Address November 10, 2017

Registered at PO BOX 98978, LAS VEGAS, NV 891938978 (Tel: 7022163346)

👤
Provider Name / Credentials Updated November 10, 2017

Recorded as MAXINE WEBSTER, NP-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 10, 2017

Nurse Practitioner (License #APRN002718 in NV)

🟢
Initial NPI Registration & Enumeration November 10, 2017

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1649783754
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 10, 2017
Last Update: January 08, 2026
Sole Proprietor: No

Mailing Address

700 River Dr

Fort Bragg, CA 954375403

Phone: 7079614922

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.