Active NPI
Deborah Lynn McCoy, FNP
- Family Nurse Practitioner
- Waco, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- AP109609
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 41484901 | Medicaid | TX | |
| 86N749 | Other | TX | BC BS |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 CenterLegacy Healthcare Services Inc
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
- Baylor Scott & White Medical Center Hillcrest
- Ascension Providence
- Baylor Scott & White Medical Center - Temple
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3032 | TX | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hillcrest Family Health Center | Family Medicine | Current | 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
- 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.
-
- Family Medicine Physician
- Waco, TX
- NPI 1891796694
Family Medicine, TX
-
- Specialist
- Inglewood, CA
- NPI 1588831374
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Waco, TX
- NPI 1548790991
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 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.
- 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.