MISS JESSICA MCKINNEY PHYSICIAN ASSISTANT NPI 1720754716

NPI Information

  • NPI: 1720754716
  • Provider Name: MISS JESSICA MCKINNEY, PHYSICIAN ASSISTANT
  • Classification: Physician Assistant - 363AM0700X
  • Specialization: Medical
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 700 KIMBER LANE
    EVANSVILLE, IN
    ZIP 47715
  • Phone: (812) 476-7111

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NPI Details

MISS Jessica Mckinney, PHYSICIAN ASSISTANT is a medical physician assistant in Evansville, IN with 4 years of experience. MISS Jessica Mckinney, PHYSICIAN ASSISTANT NPI is 1720754716. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

700 KIMBER LANE
EVANSVILLE, IN
ZIP 47715-803
Phone: (812) 476-7111
Fax: (812) 476-7117

The NPI 1720754716 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (HCPCS:G0481)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Testing for presence of drug, read by direct observation (HCPCS:80305)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (HCPCS:G0480)
  • Testing for presence of drug, by chemistry analyzers (HCPCS:80307)
  • Care management services for behavioral health conditions, 20 minutes or more clinical staff time directed by health care professional (HCPCS:99484)

The enumeration date for this NPI number is 8/19/2021 and was last updated on 11/28/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363AM0700XPhysician AssistantMedicalPA2900KENTUCKYNo
2363AM0700XPhysician AssistantMedical10003348AINDIANAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1300054019MEDICAIDINDIANA
27100764600MEDICAIDKENTUCKY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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