Individual provider Active NPI

Deborah Lynn McCoy, FNP

  • Family Nurse Practitioner
  • Waco, TX
National Provider Identifier
1285608372
Registry record updated Sep 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP109609 Issued in TX
Practice address
7702 Central Park Dr
Waco, TX 76712-6535
Phone
(254) 202-7700
Fax
(254) 202-7710
NPI assigned
Feb 15, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 556952 TX
Family Nurse Practitioner 363LF0000X 556952 TX
Family Nurse Practitioner 363LF0000X AP109609 TX Primary

Addresses

Primary practice location

7702 Central Park Dr
Waco, TX 76712-6535

Mailing address

PO Box 848476
Dallas, TX 75284-8476
Phone (254) 202-4655

Other practice location 1

201 Old Hewitt Rd
Waco, TX 76712
Phone (254) 202-7700

Other identifiers 2

IdentifierTypeStateIssuer
41484901MedicaidTX
86N749OtherTXBC BS

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address dmccoy44605@direct.sw.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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

Enrollment IDStateProvider typePAC IDDetails
I20080714000090 TX Practitioner - Nurse Practitioner 4183796865 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Hillcrest Family Health CenterGroup PAC ID 4183612278, 62 clinicians
Legacy Healthcare Services IncGroup PAC ID 2163339722, 3,431 clinicians

Practice addresses (Care Compare)

2201 Macarthur Dr
Waco, TX 76708-3161
Phone (254) 202-4360

5400 Laurel Lake Dr
Waco, TX 76710-2835
Phone (254) 399-6633

7300 Bosque Blvd
Waco, TX 76710-4023
Phone (254) 202-7700

7702 Central Park Dr
Waco, TX 76712-6535
Phone (254) 202-7700

851 N Loop
340 B S and W H Clinic Bellmead
Waco, TX 76705-2592
Phone (254) 202-7500

Hospital & facility affiliations

  • Accentcare Home Health of Waco Home health agency, Waco, TX, CCN 679200
  • Baylor Scott & White Medical Center Hillcrest Hospital, Waco, TX, CCN 450101
  • Ascension Providence Hospital, Waco, TX, CCN 450042
  • Baylor Scott & White Medical Center - Temple Hospital, Temple, TX, CCN 450054

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
3032TXMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hillcrest Family Health Center Family Medicine CurrentSince Oct 20, 2007 Accepting new patients
Soheil Hekmat, MD, Inc. Past Accepting new patients

Locations

851 N Loop 340
#B
Waco, TX 76705
Phone (254) 202-7500

120 Hillcrest Medical Blvd
Ste 100
Waco, TX 76712
Phone (254) 202-6100

201 Old Hewitt Rd
Waco, TX 76712
Phone (254) 202-7700

7702 Central Park Dr
Woodway, TX 76712
Phone (254) 202-7700

Interoperability endpoints

  • Direct secure messaging: dmccoy44605@direct.sw.org

Organizations & group practices 2

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 5

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": "1139961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600819200000",
    "number": "1285608372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 848476",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752848476",
            "telephone_number": "254-202-4655",
            "fax_number": "254-202-4697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7702 CENTRAL PARK DR",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767126535",
            "telephone_number": "254-202-7700",
            "fax_number": "254-202-7710"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "201 Old Hewitt Rd",
            "address_purpose": "LOCATION",
            "city": "Waco",
            "state": "TX",
            "postal_code": "76712",
            "country_code": "US",
            "telephone_number": "254-202-7700",
            "fax_number": "254-202-7710",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCCOY",
        "first_name": "DEBORAH",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-15",
        "last_updated": "2020-09-23",
        "certification_date": "2020-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "556952",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "556952",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP109609",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "41484901",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC BS",
            "identifier": "86N749",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dmccoy44605@direct.sw.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "7702 Central Park Dr",
            "city": "Waco",
            "state": "TX",
            "country_code": "US",
            "postal_code": "767126535",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Waco, TX

Sources for this page

Verify at the official NPI Registry.