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MCGINNIS MICA MEDICAL PC
NPI 1114393568
Nurse Practitioner - Family in Beatty, NV

Active since August 19, 2015
1550 W ELLIOTT AVE, # 300, BEATTY, NV 89003(702) 706-4362(877) 991-6606 Get Directions Write a Review

NPPES record last updated: December 29, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 29, 2025, Mar 20, 2023, Jun 16, 2018 and 2 more (5 updates tracked since 2016).

About Mcginnis Mica Medical Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MCGINNIS MICA MEDICAL PC (NPI 1114393568) is a healthcare organization registered as a family in Beatty, Nevada and active in the NPI registry since August 2015. The organization lists Diane M Mcginnis, President, as its authorized official.

NPPES Registry Identity

NPI1114393568
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameMCGINNIS MICA MEDICAL PC
Location Address1550 W ELLIOTT AVE, # 300Beatty, NV 89003-0300
Mailing AddressPo Box 300Beatty, NV 89003-0300 · (702) 706-4362 · Fax (877) 991-6606
Phone(702) 706-4362
Fax(877) 991-6606
Organization SubpartNo
Authorized OfficialDiane M McginnisPresident · (702) 706-4362
Enumeration DateAugust 19, 2015
Last NPPES UpdateDecember 29, 20255 updates tracked since enumeration
NPPES CertifiedDecember 29, 2025
✔ NPI 1114393568 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in NV · APRN001078
1550 W ELLIOTT AVE, Beatty, NV 89003
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Other Identifiers 1

Medicaid1114393568NV

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mcginnis Mica Medical PC's NPI number?

The NPI number for Mcginnis Mica Medical PC is 1114393568. It was assigned to this organization in the NPPES registry on August 19, 2015.

Where is Mcginnis Mica Medical PC located?

Mcginnis Mica Medical PC is located at 1550 W Elliott Ave # 300, Beatty, NV 89003. The listed phone number is (702) 706-4362.

What is Mcginnis Mica Medical PC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Mcginnis Mica Medical PC was last updated on December 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.