Jim Edward McKinney, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

970 Issued in OK

Practice address

102 S Main St
Sand Springs, OK 74063-6509

Phone

(918) 245-2286

Fax

(918) 241-4366

NPI assigned

Dec 16, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OK

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

Specialty

Physician Assistant

Education

Other, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Warren Clinic IncGroup PAC ID 8820900293, 787 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jim.mckinney.p8@direct.nextcare.nextgenshare.com
• Direct secure messaging: jmckinney361381@direct.saintfrancis.com
• Direct secure messaging: jim.mckinney.p10@direct.nextcare.nextgenshare.com

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.

• Warren Clinic Inc

  • General Practice Physician
  • Tulsa, OK
  • NPI 1174582282
  Medicare reassignment Care Compare group NPD
• Medical Resource Management, LLC

  dba Access Medical Center

  • Urgent Care Clinic/Center
  • Edmond, OK
  • NPI 1104056365
  Medicare reassignment
• Tulsa Emergency Medical Center Inc

  dba Access Medical Center

  • Urgent Care Clinic/Center
  • Tulsa, OK
  • NPI 1063479087
  Medicare reassignment
• Newkirk Rural Health Clinic

  • Family Medicine Physician
  • Newkirk, OK
  • NPI 1073538666
  NPD (past)

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

{
    "created_epoch": "1134691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745366400000",
    "number": "1093791493",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6600 S YALE AVE STE 1400",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741363331",
            "telephone_number": "918-499-4855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 S MAIN ST",
            "city": "SAND SPRINGS",
            "state": "OK",
            "postal_code": "740636509",
            "telephone_number": "918-245-2286",
            "fax_number": "918-241-4366"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11610 N 137th East Ave",
            "address_purpose": "LOCATION",
            "city": "Collinsville",
            "state": "OK",
            "postal_code": "740213601",
            "country_code": "US",
            "telephone_number": "918-928-4180",
            "fax_number": "918-928-4185",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6160 S Yale Ave",
            "address_purpose": "LOCATION",
            "city": "Tulsa",
            "state": "OK",
            "postal_code": "741361930",
            "country_code": "US",
            "telephone_number": "918-495-2600",
            "fax_number": "918-497-3007",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7858 S Olympia Ave",
            "address_purpose": "LOCATION",
            "city": "Tulsa",
            "state": "OK",
            "postal_code": "741321857",
            "country_code": "US",
            "telephone_number": "918-986-9250",
            "fax_number": "918-986-9205",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10506 S Memorial Dr",
            "address_purpose": "LOCATION",
            "city": "Tulsa",
            "state": "OK",
            "postal_code": "741336914",
            "country_code": "US",
            "telephone_number": "918-943-1050",
            "fax_number": "918-369-3209",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1801 E Kenosha St",
            "address_purpose": "LOCATION",
            "city": "Broken Arrow",
            "state": "OK",
            "postal_code": "740122098",
            "country_code": "US",
            "telephone_number": "918-449-4150",
            "fax_number": "918-449-4107",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2950 S Elm Pl Ste 120",
            "address_purpose": "LOCATION",
            "city": "Broken Arrow",
            "state": "OK",
            "postal_code": "740127816",
            "country_code": "US",
            "telephone_number": "918-451-5191",
            "fax_number": "918-451-5272",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCKINNEY",
        "first_name": "JIM",
        "middle_name": "EDWARD",
        "name_prefix": "Mr.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-16",
        "last_updated": "2025-04-23",
        "certification_date": "2025-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OK",
            "license": "970",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eric Martin
• Mary Matkin, LPC, LADC
• Mays Drug Stores Inc (Drug Warehouse 8)
• Wendy McConnell, M.D.
• Tonya McGee
• Medwise LLC
• Cameron Meeker
• Casey Meyering, D.MIN, PH.D., LMSW-P
• Michael V Miller Enterprises Inc
• Stephaney Miesowitz, BACHELORS OF SCIENCE

• Physician Assistant in Sand Springs, OK
• Providers in Sand Springs, OK by specialty
• Physician Assistant in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.