Individual provider Active NPI

Lana McKinley, DO

  • Dermatology Physician
  • Largo, FL
National Provider Identifier
1083949010
Registry record updated Aug 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
OS11374 Issued in FL
Practice address
13121 66TH St
Largo, FL 33773-1812
Phone
(727) 530-0920
Fax
(727) 535-7698
NPI assigned
Oct 8, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X OS11374 FL Primary

Addresses

Primary practice location

13121 66TH St
Largo, FL 33773-1812

Mailing address

13121 66TH St
Largo, FL 33773-1812
Phone (727) 530-0920

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120411000333 FL Practitioner - Dermatology 3678734035 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Christopher G Nelson MD PAGroup PAC ID 7416960034, 4 clinicians

Practice addresses (Care Compare)

350 6TH St S
St Petersburg, FL 33701-4449
Phone 72789581311

Hospital & facility affiliations

  • HCA Florida Pasadena Hospital a Part of HCA Florid Hospital, Saint Petersburg, FL, CCN 100126

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of tissue1-10
Removal of skin lesions1934
Removal of skin cancer1-10
Removal of nail tissue1-10
Removal or shaving of skin growth86
Skin biopsy911

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
OS11374FLMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mahoney Dermatology Specialists PA Dermatology CurrentSince Sep 1, 2016 Accepting new patients
Christopher G. Nelson, M.D., P.a. CurrentSince Jul 1, 2020 Accepting new patients
Alpesh D. Desai, D.O. P.a. PastSince Jan 14, 2026 Accepting new patients
Heights Dermatology - Willowbrook, PLLC Dermatology PastSince May 1, 2016 Accepting new patients

Locations

13121 66th St
Largo, FL 33773
Phone (727) 314-8180

7995 66th St N
Pinellas Park, FL 33781
Phone (727) 530-0920

7995 66th St N
Ste B
Pinellas Park, FL 33781
Phone (727) 209-2662

1615 Pasadena Ave S
Ste 100
South Pasadena, FL 33707
Phone (727) 345-8303

350 6th St S
St Petersburg, FL 33701
Phone (727) 895-8131

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/ACIDAA
  • Direct secure messaging: lmckinley@nelsondermatology.emadirect.md

Organizations & group practices 4

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": "1254960000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1472083200000",
    "number": "1083949010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13121 66TH ST",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337731812",
            "telephone_number": "727-530-0920",
            "fax_number": "727-535-7698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13121 66TH ST",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337731812",
            "telephone_number": "727-530-0920",
            "fax_number": "727-535-7698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKINLEY",
        "first_name": "LANA",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-10-08",
        "last_updated": "2016-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "FL",
            "license": "OS11374",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Largo, FL

Sources for this page

Verify at the official NPI Registry.