Individual provider Active NPI

Kaylee Madison McIntosh, PA-C

  • Physician Assistant
  • Plainview, TX
National Provider Identifier
1033988605
Registry record updated Jun 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA19308 Issued in TX
Practice address
1301 Mesa Dr
Plainview, TX 79072-3905
Phone
(872) 231-3162
NPI assigned
Dec 25, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 12, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 5138 OK
Physician Assistant 363A00000X PA19308 TX Primary

Addresses

Primary practice location

1301 Mesa Dr
Plainview, TX 79072-3905

Mailing address

PO Box 74008272
Chicago, IL 60674-8272
Phone (702) 899-0595

Other practice location 1

6002 Slide Rd # D24
Lubbock, TX 79414-4310
Phone (806) 761-0450

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK, TX2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20240212004420 OK Practitioner - Physician Assistant 3173966678 Reassigns benefits to 1 organization
I20250701000918 TX Practitioner - Physician Assistant 3173966678 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Umc PhysiciansGroup PAC ID 9830003631, 107 clinicians

Practice addresses (Care Compare)

6002 Slide Rd
D24
Lubbock, TX 79414-4310
Phone (806) 761-0450

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5138OKMDPhysician Assistant
PA19308TXMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Integrated Rehab Consultants LLC CurrentSince Jul 1, 2025 Accepting new patients
Summit Medical Center Past Accepting new patients

Locations

11020 Dessau Rd
Austin, TX 78754
Phone (512) 871-2244

3625 Green Crest Dr
Houston, TX 77082
Phone (281) 558-1166

8300 Eldorado Pkwy
McKinney, TX 75070
Phone (972) 548-9339

1301 Mesa Dr
Plainview, TX 79072
Phone (806) 293-4855

7675 Memorial Blvd
Ste 600
Port Arthur, TX 77640
Phone (409) 721-6912

Organizations & group practices 5

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": "1703462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781222400000",
    "number": "1033988605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 74008272",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606748272",
            "telephone_number": "702-899-0595",
            "fax_number": "702-977-1496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 MESA DR",
            "city": "PLAINVIEW",
            "state": "TX",
            "postal_code": "790723905",
            "telephone_number": "872-231-3162"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6002 Slide Rd # D24",
            "address_purpose": "LOCATION",
            "city": "Lubbock",
            "state": "TX",
            "postal_code": "794144310",
            "country_code": "US",
            "telephone_number": "806-761-0450",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCINTOSH",
        "first_name": "KAYLEE",
        "middle_name": "MADISON",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-12-25",
        "last_updated": "2026-06-12",
        "certification_date": "2026-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OK",
            "license": "5138",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA19308",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plainview, TX

Sources for this page

Verify at the official NPI Registry.