KAITLIN MICHELLE MCDANIEL PA-C
NPI 1609304286
Physician Assistant - Surgical in Memphis, TN

Q: What is Kaitlin Mcdaniel's NPI number?

The NPI number for Kaitlin Mcdaniel is 1609304286. It was assigned to this individual provider in the NPPES registry on May 26, 2017.

Q: What is Kaitlin Mcdaniel's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Q: When was this NPI record last updated?

The NPPES record for Kaitlin Mcdaniel was last updated on September 7, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since May 26, 2017PECOS EnrolledAccepts Medicare Assignment

76.51/100

CMS Quality Rating

1325 EASTMORELAND AVE STE 310, MEMPHIS, TN 38104(901) 272-6010(901) 266-6468 Get Directions Write a Review

NPPES record last updated: September 7, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 7, 2021, Jul 6, 2017, May 26, 2017 (3 updates tracked since 2017).

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About Kaitlin Michelle Mcdaniel Pa-c NPPES

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

KAITLIN MICHELLE MCDANIEL PA-C (NPI 1609304286) is an individual surgical provider in Memphis, Tennessee, licensed in Tennessee (3196) and active in the NPI registry since May 2017. She is enrolled in Medicare PECOS, maintains a secondary practice location in Memphis, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1609304286

Entity TypeIndividualFemale

Primary Taxonomy363AS0400X

Provider Legal NameKAITLIN MICHELLE MCDANIELCredential: PA-C

Location Address1325 EASTMORELAND AVE STE 310Memphis, TN 38104-7544

Mailing AddressPo Box 1000 Dept 457Memphis, TN 38148-0001 · (901) 275-3662

Phone(901) 272-6010

Fax(901) 266-6468

Sole ProprietorNo

Medical School CMSOtherGraduated 2016

Enumeration DateMay 26, 2017

Last NPPES UpdateSeptember 7, 20213 updates tracked since enumeration

NPPES CertifiedSeptember 7, 2021

✔ NPI 1609304286 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AS0400X

License✔ Licensed in TN · 3196

Also ListedPhysician AssistantTaxonomy 363A00000X · License 3196 (TN)

1325 EASTMORELAND AVE STE 310, Memphis, TN 38104

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Secondary Practice Location 1

Location 16025 Walnut Grove Rd Ste 627Memphis, TN 38120-2126 · Phone (901) 227-7330 · Fax (901) 227-7335

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia Health and more.Insurance ›

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

Kaitlin Michelle Mcdaniel 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 ID1153696745

PECOS Enrollment IDI20171007000106

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 low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

27 services25 patients

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

76.51/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

70.53

Promoting Interoperability

Improvement Activities

Cost

66.19

Other Providers at the Same Location NPPES 14

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

BAILEY ALYSSA FRY PA-S

Physician Assistant