Lynne McIlvain, RPAC

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

001720

Practice address

5794 Widewaters Pkwy
Syracuse, NY 13214-1845

Phone

(315) 422-1513

Fax

(315) 422-5890

NPI assigned

Jan 31, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in NY

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

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: lynne.mcilvain@direct.ahasyr.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.

• Arthritis Health Associates, PLLC

  • Rheumatology Physician
  • Syracuse, NY
  • NPI 1740252618
  Medicare reassignment
• Cny Diagnostic Imaging Associates

  • Specialist
  • Syracuse, NY
  • NPI 1225093867
  NPD (past)

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

{
    "created_epoch": "1138665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607558400000",
    "number": "1265403844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5794 WIDEWATERS PKWY",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132141845",
            "telephone_number": "315-422-1513",
            "fax_number": "315-422-5890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5794 WIDEWATERS PKWY",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132141845",
            "telephone_number": "315-422-1513",
            "fax_number": "315-422-5890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCILVAIN",
        "first_name": "LYNNE",
        "credential": "RPAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-31",
        "last_updated": "2020-12-10",
        "certification_date": "2020-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": "001720",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01286680",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lynne.mcilvain@direct.ahasyr.nextgenshare.com",
            "affiliation": "N",
            "address_1": "5794 Widewaters Pkwy",
            "city": "Syracuse",
            "state": "NY",
            "country_code": "US",
            "postal_code": "132141845",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Charles F McHale
• Colleen McHale, NP
• Eileen R. McHale, M.S. CCC-SLP-L
• Kayc C. McHone, P.A.
• Linda T McHugh, NURSE PRACTITIONER
• Lauren J McIndoo, CCC-SLP, LIC
• Georgie C McIntosh, LPN
• Breanna Teresa McIntyre, LMSW
• Judith Frances McIntyre, RN
• Kelly B McIntyre, M.S.

• Medical Physician Assistant in Syracuse, NY
• Providers in Syracuse, NY by specialty
• Medical Physician Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2020; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.