Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mary Kackley

Individual provider Family Nurse Practitioner · NPI 1285241554

Mary Kackley is a Nurse Practitioner in Washington, District of Columbia. Qualified in 2020, 6 years ago. Practices with Johns Hopkins University, a 198-clinician group, accepts Medicare assignment and offers telehealth. Licensed in District of Columbia and Virginia.

Years since qualifying
6
Licensed in
DC, VA
In the registry since
2020
Specialties on file
2
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Practice location Address checks out

5255 Loughboro Rd NW
Washington, DC 20016-2633
Phone: (202) 537-4000
Fax: (202) 537-4588
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence NP1039064 (DC)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 0024180229 (VA)

Record details

NPI number1285241554
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 30, 2020
Last updated in NPPESJuly 21, 2025
Certification dateJuly 21, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Johns Hopkins University — 198 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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