MACDALY OWENS (FNP, RN) – Family Nurse Practitioner, NPI 1912313602
Family Nurse Practitioner
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for MACDALY OWENS (FNP, RN)
PO BOX 35380
LAS VEGAS, NV 891335380
Phone:
Type: Mailing
33758 YUCAIPA BLVD STE B
YUCAIPA, CA 923992243
Phone: (909) 795-9747
Type: Location
3198 GRAND CONCOURSE
BRONX, NY 104581000
Phone: (718) 618-0401
Type: Mailing
2015 GRAND CONCOURSE
BRONX, NY 10453
Phone: (718) 299-7295
Type: Location
42-09 28th street 11th floor
Gotham Center CN 25
Long Island City, NY 11101
Phone: (347) 396-4716
Type: Location
2015 Grand Concourse
Bronx, NY 10453
Phone: (718) 299-7295
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: 2023-10-19
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20190213003332 | I | Nurse Practitioner | NY | TBD |
| I20231019001858 | I | Nurse Practitioner | CA | TBD |
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.
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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 89133)
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