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

Nathan McKoy

Individual provider Family Nurse Practitioner · NPI 1124379474

Nathan McKoy is a Nurse Practitioner in Baltimore, Maryland. Qualified in 2010, 16 years ago. Practices with Mnr Industries, LLC, a 143-clinician group and accepts Medicare assignment. Licensed in Maryland.

Years since qualifying
16
Licensed in
MD
In the registry since
2012
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Practice location Address checks out

401 E Eager St
Baltimore, MD 21202-4214
Phone: (410) 694-0061
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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 R145014 (MD)

Record details

NPI number1124379474
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedSeptember 26, 2012
Last updated in NPPESSeptember 26, 2012

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Group practice Mnr Industries, Llc — 143 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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