Individual provider

Kendra Hackney, FNP

Family Nurse Practitioner General Practice Registered Nurse Medicare enrolled

Kendra Hackney, FNP is a Family Nurse Practitioner in Mckinleyville, CA, registered under NPI 1053612697. This provider registers 2 separate taxonomy codes, which usually means they practise across more than one recognised specialty.

Getting there

The practice address on file is 1644 CENTRAL AVE, Mckinleyville, CA 95519. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

1644 CENTRAL AVE, Mckinleyville, CA 95519 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
95027800 CA Family Nurse Practitioner primary
95354760 CA General Practice Registered Nurse
F0910261 MN Family Nurse Practitioner
CNP2597 MN Family Nurse Practitioner

Licences are recorded in 2 states: CA, MN. Providers licensed in several states often practise near a state border or deliver telehealth across state lines.

Medicare (PECOS)
Status
Approved
Provider type
Practitioner - Nurse Practitioner
PAC ID
8820272230

Medicare enrolment is recorded as approved under the provider type Practitioner - Nurse Practitioner. This means the provider is enrolled to bill Medicare, though it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.

Licensed in 2 states

This provider holds licences in 2 states: California and Minnesota. The practice address on file is in Mckinleyville, CA, but a licence in another state usually means they see patients there too — either at a second location or by telehealth. If the address above is far from you, it is worth calling to ask whether they practise closer to where you live.

CA California practice address
Licence
95027800
Specialty
Family Nurse Practitioner
Verify with the CA board →
MN Minnesota
Licence
F0910261
Specialty
Family Nurse Practitioner
Verify with the MN board →

Licence numbers are self-reported to NPPES at registration. They do not confirm a licence is currently active, in good standing, or valid for the specialty shown — only the state board can tell you that, which is why we link to each one.

What Family covers

Definition to come... NUCC Health Care Provider Taxonomy, code 363LF0000X
Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Family

All registered taxonomy codes

This provider registers 4 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.

CodeSpecialtyLicenceState
363LF0000X Family Nurse Practitioner Family 95027800 CA primary
163WG0000X General Practice Registered Nurse General Practice 95354760 CA
363LF0000X Family Nurse Practitioner Family F0910261 MN
363LF0000X Family Nurse Practitioner Family CNP2597 MN

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.

NPI1053612697 valid check digit
Entity typeIndividual (NPI-1)
Enumeration dateNov 13, 2010
Last updatedAug 29, 2024
StatusActive
Sole proprietorNo
CredentialFNP
Practice address 1644 CENTRAL AVE
Mckinleyville, CA 95519
(707) 839-3068
Fax (707) 839-3827
Mailing address 1275 8TH ST
Arcata, CA 95521
This record was updated on Aug 29, 2024, which is recent enough that the contact details are likely still accurate.

Number check

1053612697 passes the NPI check digit test The final digit 7 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 0 5 3 6 1 2 6 9
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 0 1 3 3 1 4 6 9

Sum = 53 · next multiple of 10 = 60 · check digit = 7 · actual last digit = 7

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1053612697?
NPI 1053612697 is the National Provider Identifier assigned to Kendra Hackney, FNP in Mckinleyville, CA. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Family cover?
Definition to come...
How do I contact Kendra Hackney, FNP?
The phone number on file with NPPES is (707) 839-3068, last updated Aug 29, 2024. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Does Kendra Hackney, FNP accept Medicare?
This NPI has an approved Medicare enrolment in PECOS, which means the provider is enrolled to bill Medicare. Enrolment does not guarantee they are accepting new Medicare patients — verify directly with the office.
Is NPI 1053612697 a valid number?
Yes. 1053612697 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.