Mary Kackley
Nurse Practitioner · Washington, DC
Mary Kackley is a nurse practitioner with a practice address in Washington, District of Columbia, and NPI 1285241554, issued on Sep 30, 2020. Check the license (District of Columbia NP1039064, as entered in NPPES) with the District of Columbia board that licenses this profession; the Medicare figures below come from public CMS files.
- Name
- Mary Kackley
- Primary taxonomy
- Nurse Practitioner 363L00000X
- License numbers
- NP1039064 DC
0024180229 VA
Self-reported in NPPES; status is on the state search - Practice location
- 5255 Loughboro RD NW, Washington, DC 20016
- Phone
- (202) 537-4000
- Enumerated
- Sep 30, 2020
- Record last updated
- Jul 21, 2025
- Fax
- (202) 537-4588
- Medicare enrollment
- Enrolled (PECOS I20201221002715); accepts Medicare assignment
- Telehealth
- Offers telehealth (CMS)
- Entity
- Type 1 · individual
Also registered at 5255 Loughboro RD NW
A shared address usually means a shared clinic or building; it does not show who employs whom.
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- Jennifer Abele, MDEmergency Medicine Physician1073502779
- Mesay Abomsa, PHARMDPharmacist1508676552
- Mohammed AbubakarNeonatal-Perinatal Medicine Physician1578561643
Verify Mary Kackley in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich District of Columbia board licenses this profession
Search for license NP1039064Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Bills Medicare through one group practice
- Johns Hopkins UniversityWashington, DC
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Nurse Practitioner providers in District of Columbia
There are 244 nurse practitioner records in District of Columbia.
All 244 in District of Columbia → Every provider in Washington →
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Common questions
What is Mary Kackley's NPI number?
Mary Kackley's National Provider Identifier (NPI) is 1285241554, issued on Sep 30, 2020. An NPI identifies a provider in billing; it is not a license.
Where is Mary Kackley located?
The NPPES record lists a practice address at 5255 Loughboro RD NW, Washington, DC, 20016. Phone: (202) 537-4000. Providers update this record themselves, so call before visiting.
How can I verify Mary Kackley's license?
NPPES lists District of Columbia license number NP1039064, as entered by the provider. Search the District of Columbia board that licenses this profession; the NPPES record confirms identity only.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.