Active NPI 1114205200 Individual Practitioner Female Practitioner

Mary-Ellen Macdonald , FNP

Nurse Practitioner • Crystal River, FL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Mary-Ellen Macdonald, FNP is a certified Nurse Practitioner practicing in Crystal River, FL. With approximately 15 years of clinical experience since completing medical education in 2011, Mary-Ellen Macdonald delivers high-quality medical care to the local community at 6038 W NORDLING LOOP.

Mary-Ellen Macdonald is affiliated with Internal Medicine And Pediatrics Wellness Center and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's, annual alcohol misuse screening, 5 to. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

6038 W Nordling Loop

Crystal River, FL 344298715

Telephone 3525635070

Fax 3527954322

Associated Practice Facility / Clinic

🏢 Quality Healthcare Services Pllc Facility NPI 1184194334

Medicare Profile & Education

Medical School

Other

Graduation Year

2011

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Crystal River, FL

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

15 Yrs +3.4 yrs vs City Avg

City Avg: 11.6 Yrs

State Avg: 10.0 Yrs

Regional Practice Density

13 Specialists

Practicing in Crystal River, FL (8990 Statewide)

Telehealth Adoption Rate

15.4% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

36.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Macdonald (15 Years) 15 Yrs

Crystal River Specialty Average (11.6 Years) 11.6 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	81	69	$162.22	$105.80
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's	51	47	$23.07	$13.69
99213 Established patient office or other outpatient visit, typically 15 minutes	18	18	$115.56	$70.54

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	67	47	$140.00	$104.07
99213 Established patient office or other outpatient visit, typically 15 minutes	31	29	$100.00	$75.22

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	74	66	$159.31	$107.72
99213 Established patient office or other outpatient visit, typically 15 minutes	27	26	$108.43	$76.49

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	77	66	$146.00	$109.21
99213 Established patient office or other outpatient visit, typically 15 minutes	37	35	$90.86	$77.62
G0442 Annual alcohol misuse screening, 5 to 15 minutes	14	14	$30.00	$15.51

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	110	89	$142.81	$92.83
99349 Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes	94	38	$135.00	$112.25
99213 Established patient office or other outpatient visit, typically 15 minutes	69	63	$87.00	$64.33
99443 Telephone medical discussion with physician, 21-30 minutes	60	29	$94.76	$83.28
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	24	24	$172.67	$98.94
99442 Telephone medical discussion with physician, 11-20 minutes	21	18	$71.15	$61.71
99348 Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes	16	12	$95.00	$73.37
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	15	11	$32.00	$12.06

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	163	136	$133.00	$91.62
99213 Established patient office or other outpatient visit, typically 15 minutes	96	79	$87.00	$62.83
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	27	27	$160.00	$97.97
93000 Routine ekg using at least 12 leads including interpretation and report	14	13	$31.00	$14.41
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	12	11	$33.00	$18.94
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	11	11	$28.64	$13.95

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	342	182	$132.06	$89.63
99213 Established patient office or other outpatient visit, typically 15 minutes	202	140	$87.00	$61.08
93000 Routine ekg using at least 12 leads including interpretation and report	59	57	$31.00	$14.04
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	51	51	$130.20	$97.87
G0442 Annual alcohol misuse screening, 5 to 15 minutes	29	29	$25.80	$15.23
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	27	14	$30.00	$17.00
G0008 Administration of influenza virus vaccine	23	23	$24.91	$19.91
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	19	19	$178.05	$144.47
81002 Urinalysis, manual test	19	17	$4.95	$3.41
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	18	14	$40.22	$17.87
90662 Influenza vaccine split virus, preservative free	17	17	$54.62	$49.22
99495 Transitional care management services for problem of at least moderate complexity	13	13	$260.00	$137.64
G0444 Annual depression screening, 5 to 15 minutes	12	12	$25.73	$14.94
J7613 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg	11	11	$0.71	$0.05

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	257	157	$132.00	$90.01
99213 Established patient office or other outpatient visit, typically 15 minutes	214	162	$87.00	$61.01
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	71	71	$120.00	$96.85
G0008 Administration of influenza virus vaccine	34	34	$25.00	$24.50
90662 Influenza vaccine split virus, preservative free	30	30	$52.82	$47.44
G0442 Annual alcohol misuse screening, 5 to 15 minutes	22	22	$25.80	$14.93
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	19	19	$175.00	$143.24
81002 Urinalysis, manual test	19	17	$5.00	$3.43
99497 Advance care planning, first 30 minutes	18	18	$95.00	$69.26
93000 Routine ekg using at least 12 leads including interpretation and report	11	11	$31.00	$14.25

Medical Specialties & State Licenses

Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License FL ARNP9421749

(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.

Hospital & Practice Group Affiliations

Internal Medicine And Pediatrics Wellness Center

6038 W Nordling Loop, Crystal River, FL 344298715

Phone: 3525635070

Practice Associates & Co-Workers

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

5 Associated Practitioners

Joy Dowe , ARNP

Nurse Practitioner

NPI 1144266172

Advanced Registered Nurse Practitioner

Dr. Carlene Wilson , MD

Internal Medicine

NPI 1407850365

Doctor of Medicine (M.D.)

Gabriel Satchell

Nurse Practitioner - Family

NPI 1457294043

Jennifer Hegarty , APRN

Nurse Practitioner - Family

NPI 1588800726

Advanced Practice Registered Nurse

Pam Rawat-Katoch

Nurse Practitioner - Family

NPI 1649046624

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active April 22, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location April 22, 2016

Registered at 6038 W NORDLING LOOP, CRYSTAL RIVER, FL 344298715 (Tel: 3525635070)

📍

Updated Business Mailing Address April 22, 2016

Registered at 105 PINE STREET, HOMOSASSA, FL 344465201 (Tel: 2079426226)

👤

Provider Name / Credentials Updated April 22, 2016

Recorded as MARY-ELLEN MACDONALD, FNP

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) April 22, 2016

Nurse Practitioner (License #ARNP9421749 in FL)

🟢

Initial NPI Registration & Enumeration July 25, 2011

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: 1114205200

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: July 25, 2011

Last Update: April 22, 2016

Sole Proprietor: No

Update or Correct Profile

Mailing Address

105 Pine Street

Homosassa, FL 344465201

Phone: 2079426226

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.