JOSEPH MCILVAINE PA-C
NPI 1871097717
Physician Assistant - Medical in Jb Andrews, MD

Q: What is Joseph Mcilvaine's NPI number?

The NPI number for Joseph Mcilvaine is 1871097717. It was assigned to this individual provider in the NPPES registry on March 23, 2018.

Q: What is Joseph Mcilvaine'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 Joseph Mcilvaine was last updated on April 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.

Active since March 23, 2018

1060 W PERIMETER RD STE 3K43, JB ANDREWS, MD 20762(888) 999-1212 Get Directions Write a Review

NPPES record last updated: April 25, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 2, 2022, Jan 24, 2022, Mar 23, 2018 (3 updates tracked since 2018).

On this page

About Joseph Mcilvaine Pa-c NPPES

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

JOSEPH MCILVAINE PA-C (NPI 1871097717) is an individual medical provider in Jb Andrews, Maryland and active in the NPI registry since March 2018. He maintains a secondary practice location in Offutt Afb.

NPPES Registry Identity

NPI1871097717

Entity TypeIndividualMale

Primary Taxonomy363AM0700X

Provider Legal NameJOSEPH MCILVAINECredential: PA-C

Location Address1060 W PERIMETER RD STE 3K43Jb Andrews, MD 20762-6602

Mailing Address2501 Capehart RdOffutt Afb, NE 68113-1043

Phone(888) 999-1212

Sole ProprietorNo

Enumeration DateMarch 23, 2018

Last NPPES UpdateApril 25, 20253 updates tracked since enumeration

NPPES CertifiedApril 25, 2025

✔ NPI 1871097717 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

1060 W PERIMETER RD STE 3K43, Jb Andrews, MD 20762

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Secondary Practice Location 1

Location 12501 Capehart RdOffutt AFB, NE 68113-1043 · Phone (318) 456-2380

Other Identifiers 1

Medicaid1871097717NV

Other Providers at the Same Location NPPES 2

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

DR. DANIEL JOSEPH HALSE JR. DDS

Dentist (General Practice)

1060 W PERIMETER RD STE 3K43
JB ANDREWS, MD 20762

Prince George's County (888) 999-1212

DR. CAITLIN FISSETTE-ECKERT PH.D.

Psychologist (Clinical)

1060 W PERIMETER RD STE 3K43
JB ANDREWS, MD 20762

Prince George's County (240) 857-9680

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 Joseph Mcilvaine's NPI number?

The NPI number for Joseph Mcilvaine is 1871097717. It was assigned to this individual provider in the NPPES registry on March 23, 2018.

Where is Joseph Mcilvaine located?

Joseph Mcilvaine practices at 1060 W Perimeter Rd Ste 3k43, Jb Andrews, MD 20762. The listed phone number is (888) 999-1212.

What is Joseph Mcilvaine's specialty?

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

When was this NPI record last updated?

The NPPES record for Joseph Mcilvaine was last updated on April 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.