SUSAN A. MCKINNEY PA-C
NPI 1225081045
Physician Assistant - Medical in Indianapolis, IN

Active since May 19, 2006PECOS Enrolled
1002 WISHARD BLVD FL 4, INDIANAPOLIS, IN 46202(317) 692-2323 Get Directions Write a Review

NPPES record last updated: July 26, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Susan A. Mckinney Pa-c NPPES

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

SUSAN A. MCKINNEY PA-C (NPI 1225081045) is an individual medical provider in Indianapolis, Indiana, licensed in Indiana (10000139A) and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1225081045
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameSUSAN A. MCKINNEYCredential: PA-C
Location Address1002 WISHARD BLVD FL 4Indianapolis, IN 46202-2872
Mailing Address8910 Purdue Rd, Ste 500Indianapolis, IN 46268-3161
Sole ProprietorNo
Enumeration DateMay 19, 2006
Last NPPES UpdateJuly 26, 2011
NPI 1225081045 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in IN · 10000139A
1002 WISHARD BLVD FL 4, Indianapolis, IN 46202

Other Identifiers 8

OtherP00383030Railroad Medicare Pin
Medicare UPINR33225IN
Medicare OSCAR/certification248600AIN
OtherDF5450IN · Railroad Group
Medicare ID-Type Unspecified165460FFIN
Other000000506703IN · Bc/bs Pin
Other200856130IN · Medicaid Group
Medicare PIN248600AIN

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Susan A. Mckinney Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Other Providers at the Same Location NPPES

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

Student in an Organized Health Care Education/Training Program
1002 WISHARD BLVD FL 4
INDIANAPOLIS, IN 46202

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 Susan Mckinney's NPI number?

The NPI number for Susan Mckinney is 1225081045. It was assigned to this individual provider in the NPPES registry on May 19, 2006.

Where is Susan Mckinney located?

Susan Mckinney practices at 1002 Wishard Blvd Fl 4, Indianapolis, IN 46202. The listed phone number is (317) 692-2323.

What is Susan Mckinney's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Susan Mckinney enrolled in Medicare?

Yes. Susan Mckinney is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Susan Mckinney was last updated on July 26, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.