Individual provider Active NPI

Lori Jeanne McKee, P.A.

  • Medical Physician Assistant
  • Fort Worth, TX
National Provider Identifier
1104126549
Registry record updated Jul 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
014328 Issued in NY
Practice address
6420 Altamesa Blvd Ste 100
Fort Worth, TX 76132-3524
Phone
(817) 912-9000
Fax
(817) 912-9010
NPI assigned
Nov 2, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 014328 NY Primary

Addresses

Primary practice location

6420 Altamesa Blvd Ste 100
Fort Worth, TX 76132-3524

Mailing address

6420 Altamesa Blvd Ste 100
Fort Worth, TX 76132-3524
Phone (817) 912-9000

Other identifiers 1

IdentifierTypeStateIssuer
03303248MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, 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
I20110216000015 NY Practitioner - Physician Assistant 5799965257 Reassigns benefits to 3 organizations
I20240207003023 TX Practitioner - Physician Assistant 5799965257 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Philadelphia College of Osteopathic Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Healthtexas Provider NetworkGroup PAC ID 1355254210, 2,535 clinicians

Practice addresses (Care Compare)

1307 8TH Ave
Suite 406
Fort Worth, TX 76104-4141
Phone (817) 912-8040

4001 Worth St
Dallas, TX 75246-1608

5408 Colleyville Blvd
Colleyville, TX 76034-5833
Phone (817) 498-9920

6420 Altamesa Blvd
Suite 100
Fort Worth, TX 76132-3553
Phone (817) 912-9000

Hospital & facility affiliations

  • Baylor Institute for Rehabilitation at Fort Worth Inpatient rehabilitation facility, Fort Worth, TX, CCN 673035

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
014328NYMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Healthtexas Provider Network CurrentSince Jan 15, 2024 Accepting new patients
Rochester General Hospital CurrentSince Dec 3, 2020 Accepting new patients
Rochester General Hospital CurrentSince Dec 3, 2020 Accepting new patients
The Unity Hospital of Rochester CurrentSince Oct 5, 2015 Accepting new patients
The Unity Hospital of Rochester CurrentSince Oct 5, 2015 Accepting new patients
Healthtexas Provider Network CurrentSince Jan 15, 2024 Accepting new patients
Scottsville Family Medicine, LLC PastSince Sep 12, 2013 Accepting new patients
Healthtexas Provider Network PastSince Jul 21, 2024 Accepting new patients
Rochester General Hospital Past Accepting new patients

Locations

6668 4th Section Rd
Brockport, NY 14420
Phone (585) 368-6870

1425 Portland Ave
Rochester, NY 14621
Phone (585) 922-3122

100 Kings Hwy S
Rochester, NY 14617
Phone (585) 922-0553

1555 Long Pond Rd
Rochester, NY 14626
Phone (585) 429-2289

601 Elmwood Ave
Rochester, NY 14642
Phone (585) 275-9555

5408 Colleyville Blvd
Colleyville, TX 76034
Phone (817) 498-9920

4001 Worth St
#A
Dallas, TX 75246
Phone (214) 820-8665

301 N Washington Ave
Dallas, TX 75246
Phone (469) 800-8330

6420 Altamesa Blvd
Ste 100
Fort Worth, TX 76132
Phone (817) 912-9000

Interoperability endpoints

  • Direct secure messaging: lmckee1264791@direct.sw.org

Organizations & group practices 12

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1288656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721260800000",
    "number": "1104126549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6420 ALTAMESA BLVD STE 100",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761323524",
            "telephone_number": "817-912-9000",
            "fax_number": "817-912-9010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6420 ALTAMESA BLVD STE 100",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761323524",
            "telephone_number": "817-912-9000",
            "fax_number": "817-912-9010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKEE",
        "first_name": "LORI",
        "middle_name": "JEANNE",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-11-02",
        "last_updated": "2024-07-18",
        "certification_date": "2024-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NY",
            "license": "014328",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03303248",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

Verify at the official NPI Registry.