LYNNE MCILVAIN RPAC
NPI 1265403844
Physician Assistant - Medical in Syracuse, NY

Q: What is Lynne Mcilvain's NPI number?

The NPI number for Lynne Mcilvain is 1265403844. It was assigned to this individual provider in the NPPES registry on January 31, 2006.

Q: What is Lynne Mcilvain's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Lynne Mcilvain was last updated on December 10, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since January 31, 2006PECOS Enrolled

5794 WIDEWATERS PKWY, SYRACUSE, NY 13214(315) 422-1513(315) 422-5890 Get Directions Write a Review

NPPES record last updated: December 10, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 10, 2020, Jun 22, 2017, Mar 14, 2017 (3 updates tracked since 2017).

On this page

About Lynne Mcilvain Rpac NPPES

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

LYNNE MCILVAIN RPAC (NPI 1265403844) is an individual medical provider in Syracuse, New York, licensed in (001720) and active in the NPI registry since January 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1265403844

Entity TypeIndividualFemale

Primary Taxonomy363AM0700X

Provider Legal NameLYNNE MCILVAINCredential: RPAC

Location Address5794 WIDEWATERS PKWYSyracuse, NY 13214-1845

Mailing Address5794 Widewaters PkwySyracuse, NY 13214-1845 · (315) 422-1513 · Fax (315) 422-5890

Phone(315) 422-1513

Fax(315) 422-5890

Sole ProprietorNo

Enumeration DateJanuary 31, 2006

Last NPPES UpdateDecember 10, 20203 updates tracked since enumeration

NPPES CertifiedDecember 10, 2020

✔ NPI 1265403844 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 · 001720

5794 WIDEWATERS PKWY, Syracuse, NY 13214

Open in Google Maps ↗

Other Identifiers 1

Medicaid01286680NY

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lynne Mcilvain Rpac 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.

Leave this field empty

Other Providers at the Same Location NPPES 16

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

MS. SHERI A SPINK-PALMIERI RPA

Physician Assistant