TANNER LEE MACKAY (FNP-C) – Family Nurse Practitioner, NPI 1215536537

TANNER LEE MACKAY (FNP-C) is a healthcare provider. based in San antonio, Texas. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP-C. They hold a License No. 1016749 (TX). The NPI Number for TANNER LEE MACKAY (FNP-C) is 1215536537

Main info

Male
6 Years Of Experience
Accepts Medicare Assignment
Name
TANNER LEE MACKAY (FNP-C)
NPI
1215536537
Phone
Not provided
Address
3919 CANYON PKWY
Enumeration Date
19 October 2020
Last Update Date
19 October 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5123538979
Graduation Year
2020 (6 years ago)
PAC ID
0840602520
Group Practice PAC ID
6901259936
Professional Enrollment ID
I20201222002186
Address ID
TX786667533SA1301XDRXX400

Contacts

Other Endpoint
resolutehealth.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness85
Years active:5State licenses:1Other namesUpdated within 12 months

22,204 NURSE PRACTITIONER in TX

Provider Addresses for TANNER LEE MACKAY (FNP-C)

  • 3919 CANYON PKWY

    SAN ANTONIO, TX 782592253

    Phone:

    Type: Mailing

  • 555 CREEKSIDE XING

    NEW BRAUNFELS, TX 781302594

    Phone: (830) 500-6650

    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: 2020-12-22

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

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
I20201222002186INurse PractitionerTXTBD

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
99284Emergency department visit with moderate level of medical decision making125124$0
99285Emergency department visit with high level of medical decision making8079$0
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only3939$0
99283Emergency department visit with low level of medical decision making3030$0
99291Critical care, first 30-74 minutes1616$0
View full utilization report →

Insurance plans in this area (ZIP 78259)

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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: 6901259936View full group profile
NameSpecialtyState
Emergency MedicineTX
Emergency MedicineTX
Emergency MedicineAZ
Emergency MedicineNY
Family Practice, Emergency MedicineTX
Emergency MedicineTX
Emergency MedicineAE
Emergency MedicineTX
Emergency MedicineTX
Emergency MedicineTX

Reviews

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Frequently asked questions

What unique ID ties claims to TANNER LEE MACKAY (FNP-C)?
NPI 1215536537 is assigned to TANNER LEE MACKAY (FNP-C) under the national enumeration system.
Is TANNER LEE MACKAY (FNP-C)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Can you summarize TANNER LEE MACKAY (FNP-C)'s specialty in plain language?
Clinically, the directory lists TANNER LEE MACKAY (FNP-C) with Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What location shows for TANNER LEE MACKAY (FNP-C)?
We surface San Antonio, Texas for TANNER LEE MACKAY (FNP-C) based on available NPPES addresses.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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