Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Misty Dawn Mackinson, FNP-C

Individual provider Registered Nurse · NPI 1932868486

Misty Dawn Mackinson, FNP-C is a Nurse Practitioner in Indianapolis, Indiana. Qualified in 2019, 7 years ago. Practices with Little Clinic of in LLC, a 69-clinician group and accepts Medicare assignment. Licensed in Indiana.

Years since qualifying
7
Licensed in
IN
In the registry since
2021
Specialties on file
3
What do these letters mean?
FNP-C — Family Nurse Practitioner, Certified
A family nurse practitioner certified by the AANP.

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Practice location Address checks out

1330 W Southport Rd
Indianapolis, IN 46217-5301
Phone: (317) 884-4256
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 71012983A (IN)
Registered Nurse Taxonomy 163W00000X · Licence 28216430A (IN)
Pharmacy Technician Taxonomy 183700000X · Licence 67008022A (IN)

Record details

NPI number1932868486
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-C
Sole proprietorNo
NPI enumeratedDecember 13, 2021
Last updated in NPPESAugust 26, 2022
Certification dateAugust 1, 2022

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Little Clinic Of In Llc — 69 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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