Terra Marie Kinney, PA-C
Individual provider Active NPI Physician Assistant · Hoopeston, IL
NPI 1073149092 · NPPES record last updated May 23, 2022
Key facts
- NPI
- 1073149092
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- 085007843 (IL)
- Practice address
- 801 E Orange St
Hoopeston, IL 60942-1802 - Phone
- (217) 283-5644
- NPI assigned
- Mar 21, 2020
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 14
Hospital & facility affiliations 4
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Indiana University School of Medicine, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Hoopeston Community Memorial Hospital
Practice addresses (Care Compare)
701 E Orange St
Hoopeston, IL 60942-1801
Phone (217) 283-5531
Hospital & facility affiliations
- Carle Hoopeston Regional Health Center
- Carle Foundation Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210120001198 | IL | Practitioner - Physician Assistant | 0143634832 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 085007843 | IL | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hoopeston Community Memorial Hospital | Current | Accepting new patients | |
| Hoopeston Community Memorial Hospital | Current |
Accepting new patients | |
| Carle Health Care Incorporated | Current |
Accepting new patients | |
| Hoopeston Community Memorial Hospital | Current |
Accepting new patients | |
| Carle Health Care Incorporated | Past | Accepting new patients | |
| Gibson Community Hospital Association | Past | Accepting new patients |
Locations
311 W Fairchild St
Danville, IL 61832
Phone (217) 431-7600
701 E Orange St
Hoopeston, IL 60942
Phone (217) 283-5531
801 E Orange St
Hoopeston, IL 60942
Phone (217) 283-5531
619 N Chicago St
Rossville, IL 60963
Phone (217) 283-8540
611 W Park St
Urbana, IL 61801
Phone (217) 383-6941
Interoperability endpoints
- tkinneypa342744@carlehiedirect.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | |||
| Physician Assistant | 363A00000X | 085007843 | IL | Yes |
Addresses
Primary practice location
801 E Orange St
Hoopeston, IL 60942-1802
Mailing address
611 W Park St
Urbana, IL 61801-2529
Other names
- Terra Marie Scharlach
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | terrakinneypa@gmail.com | Other |
Other providers in Hoopeston, IL
- Iroquois Mental Health Center
- Iroquois Mental Health Center
- Iroquois Mental Health Center
- Alexander Kentner
- Ashley Marie Kief
- Jamie Knapp
- Vernon Koto
- Sachchithanantham Kuhananthan
- Callie Grace Lankford
- Cylie Ann Lappin
All providers in Hoopeston, IL · Physician Assistant in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 23, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.