JONATHAN LUCERO MCKINNEY PA-C
NPI 1144951369
Physician Assistant in Providence, RI

Active since June 20, 2022PECOS EnrolledAccepts Medicare Assignment
825 CHALKSTONE AVE, PROVIDENCE, RI 02908(401) 456-2000 Get Directions Write a Review

NPPES record last updated: March 26, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jonathan Lucero Mckinney Pa-c NPPES

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

JONATHAN LUCERO MCKINNEY PA-C (NPI 1144951369) is an individual physician assistant in Providence, Rhode Island, licensed in Rhode Island (PA01489) and active in the NPI registry since June 2022. He is enrolled in Medicare PECOS, is affiliated with Adventhealth Orlando, and maintains 4 additional practice locations.

NPPES Registry Identity

NPI1144951369
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameJONATHAN LUCERO MCKINNEYCredential: PA-C
Location Address825 CHALKSTONE AVEProvidence, RI 02908-4728
Mailing Address40 Princeton AveProvidence, RI 02907-4115 · (717) 673-7066
Sole ProprietorYes
Medical School CMSOtherGraduated 2022
Enumeration DateJune 20, 2022
Last NPPES UpdateMarch 26, 2024
NPPES CertifiedMarch 26, 2024
NPI 1144951369 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in RI · PA01489
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
825 CHALKSTONE AVE, Providence, RI 02908

Secondary Practice Locations 4

Location 140 Princeton AveProvidence, RI 02907-4115 · Phone (717) 673-7066
Location 2200 High Service AveNorth Providence, RI 02904-5113 · Phone (401) 456-3000
Location 321 Division StPawtucket, RI 02860-5352 · Phone (401) 727-4800 · Fax (401) 921-6924
Location 4455 Toll Gate RdWarwick, RI 02886-2759 · Phone (401) 737-7010 · Fax (401) 736-4546

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Jonathan Lucero Mckinney Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8527434786
PECOS Enrollment IDI20250529002649
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
53 services29 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Adventhealth Orlando

Acute Care Hospitals · Orlando, FL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100007
Location601 E Rollins StOrlando, FL 32803 · Orange County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02908 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$90.48 typical visit price
range $58.57 – $177.03
Typical copayment $22.62 (range $14.64 – $44.25)
Most-billed visit code 99203
Established Patient
$72.93 typical visit price
range $18.92 – $144.38
Typical copayment $18.23 (range $4.73 – $36.09)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine (Medical Oncology)
825 CHALKSTONE AVE
PROVIDENCE, RI 02908
Anesthesiology
825 CHALKSTONE AVE
PROVIDENCE, RI 02908
Emergency Medicine
825 CHALKSTONE AVE
PROVIDENCE, RI 02908
General Acute Care Hospital
825 CHALKSTONE AVE
PROVIDENCE, RI 02908
Pathology (Anatomic Pathology)
825 CHALKSTONE AVE, ROGER WILLIAMS MEDICAL CENTER/PATHOLOGY DEPT.
PROVIDENCE, RI 02908
Nurse Anesthetist, Certified Registered
825 CHALKSTONE AVE
PROVIDENCE, RI 02908
Social Worker (Clinical)
825 CHALKSTONE AVE
PROVIDENCE, RI 02908
Internal Medicine
825 CHALKSTONE AVE
PROVIDENCE, RI 02908

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 Jonathan Mckinney's NPI number?

The NPI number for Jonathan Mckinney is 1144951369. It was assigned to this individual provider in the NPPES registry on June 20, 2022.

Where is Jonathan Mckinney located?

Jonathan Mckinney practices at 825 Chalkstone Ave, Providence, RI 02908. The listed phone number is (401) 456-2000.

What is Jonathan Mckinney's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Jonathan Mckinney enrolled in Medicare?

Yes. Jonathan Mckinney is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Jonathan Mckinney affiliated with any hospitals?

According to CMS data, Jonathan Mckinney is affiliated with Adventhealth Orlando.

When was this NPI record last updated?

The NPPES record for Jonathan Mckinney was last updated on March 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.