Individual provider Active NPI

Chelsea Mical McKiernan, PA-C

  • Physician Assistant
  • Lincoln, RI
National Provider Identifier
1003380106
Registry record updated Aug 31, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA01090 Issued in RI
Practice address
2 Wake Robin Rd Ste 106
Lincoln, RI 02865-4241
Phone
(401) 333-9595
Fax
(401) 334-1155
NPI assigned
Jan 11, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA01090 RI Primary

Addresses

Primary practice location

2 Wake Robin Rd Ste 106
Lincoln, RI 02865-4241

Mailing address

2 Wake Robin Rd Ste 106
Lincoln, RI 02865-4241

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190225002347 RI Practitioner - Physician Assistant 3779822424

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA01090RIMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Lincoln Urgent Care Center, Inc. Physician Assistant PastSince Jan 1, 2006 Accepting new patients

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/EHAGAD/Endpoint/EHAGAD

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1547164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788134400000",
    "number": "1003380106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 WAKE ROBIN RD STE 106",
            "city": "LINCOLN",
            "state": "RI",
            "postal_code": "028654241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 WAKE ROBIN RD STE 106",
            "city": "LINCOLN",
            "state": "RI",
            "postal_code": "028654241",
            "telephone_number": "401-333-9595",
            "fax_number": "401-334-1155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKIERNAN",
        "first_name": "CHELSEA",
        "middle_name": "MICAL",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-11",
        "last_updated": "2026-08-31",
        "certification_date": "2026-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "RI",
            "license": "PA01090",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincoln, RI

Sources for this page

Verify at the official NPI Registry.