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

Kippy Macklin

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1881332781

Kippy Macklin is a Nurse Practitioner in Salem, Oregon. Qualified in 2021, 5 years ago. Practices with Fandm Healthcare, LLC, a 29-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Oregon and Washington.

Years since qualifying
5
Licensed in
OR, WA
In the registry since
2022
Specialties on file
2
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Practice location Address checks out

1675 Winter St NE
Salem, OR 97301-7152
Phone: (503) 585-0351
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence AP61298980 (WA)
Psychiatric/Mental Health Nurse Practitioner Taxonomy 363LP0808X · Licence 10020345 (OR)

Record details

NPI number1881332781
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMay 22, 2022
Last updated in NPPESOctober 22, 2024
Certification dateOctober 22, 2024

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Fandm Healthcare, Llc — 29 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

Other providers in Salem