NATHAN MCKOY – Family Nurse Practitioner, NPI 1124379474

NATHAN MCKOY is a healthcare provider. based in Linthicum, Maryland. specializing in NURSE PRACTITIONER. They hold a License No. R145014 (MD). The NPI Number for NATHAN MCKOY is 1124379474

Main info

Male
16 Years Of Experience
Accepts Medicare Assignment
Name
NATHAN MCKOY
NPI
1124379474
Phone
Not provided
Address
6426 ENGLISH OAK CT
Enumeration Date
26 September 2012
Last Update Date
26 September 2012

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4104206970
Graduation Year
2010 (16 years ago)
PAC ID
1658655444
Group Practice PAC ID
7416908843
Professional Enrollment ID
I20170222001646
Address ID
MD210144742BE1505XRDXX401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience40
Completeness75
Years active:13State licenses:1Digital endpointsOther names

6,767 NURSE PRACTITIONER in MD

Provider Addresses for NATHAN MCKOY

  • 6426 ENGLISH OAK CT

    LINTHICUM, MD 210902724

    Phone:

    Type: Mailing

  • 401 E EAGER ST

    BALTIMORE, MD 212024214

    Phone: (410) 694-0061

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2017-12-20

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20170222001646INurse PractitionerMDTBD
I20171220002373INurse PractitionerDCTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
87400Detection test by immunoassay technique for influenza virus356165$0
99213Established patient office or other outpatient visit, 20-29 minutes203164$0
87811Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19)192177$0
99214Established patient office or other outpatient visit, 30-39 minutes151138$0
81003Automated urinalysis test11297$0
View full utilization report →

Insurance plans in this area (ZIP 21090)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7416908843View full group profile
NameSpecialtyState
Internal MedicineMD
Physical Medicine And RehabilitationMD
Physician AssistantMD
Nurse PractitionerMD
Physician AssistantMD
Physician AssistantMD
-MD
Physician AssistantMD
Physician AssistantMD
-MD

Reviews

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Frequently asked questions

What is the standard ID for NATHAN MCKOY in the U.S.?
In the U.S., NATHAN MCKOY is identified by NPI 1124379474.
Is NATHAN MCKOY currently accepting referrals based on NPI status?
Registry metadata lists NATHAN MCKOY as active.
How should patients interpret NATHAN MCKOY's specialty?
The extract shows Family Nurse Practitioner for NATHAN MCKOY. Clinical services aligned with this taxonomy classification.
Is NATHAN MCKOY tied to Linthicum, Maryland?
If you are local to Linthicum, Maryland, NATHAN MCKOY may be relevant to your search.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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