MCGINNIS MICA MEDICAL PC
NPI 1114393568
Nurse Practitioner - Family in Beatty, NV
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
Specialties & Licenses
Other Identifiers 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mcginnis Mica Medical Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Mcginnis Mica Medical PC, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
Is Mcginnis Mica Medical PC enrolled in Medicare?
Yes. Mcginnis Mica Medical PC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Mcginnis Mica Medical PC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Mcginnis Mica Medical PC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 10 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.
# Mcginnis Mica Medical Pc · NPI 1114393568
Family organization in Beatty, Nevada. Organization record, active in the CMS NPPES registry since August 19, 2015.
## Identity
- **NPI:** 1114393568 (Entity type: Organization)
- **Enumerated:** August 19, 2015
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **Organization subpart:** No
- **Authorized official:** Diane Mcginnis, PRESIDENT
## Practice location
- **Address:** 1550 W ELLIOTT AVE, # 300, Beatty, NV 89003-0300
- **Phone:** (702) 706-4362 · **Fax:** (877) 991-6606
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Nurse Practitioner) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 29, 2025
- **Other identifiers:** Medicaid 1114393568 (NV)
---
Source: [NPI Profile](https://npiprofile.com/npi/1114393568) · Data from the CMS NPPES public registry.