Teresa Beth McKinney, P.A.-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

3046 Issued in OK

Practice address

1651 E Stearns St Ste 110
Fayetteville, AR 72703-6196

Phone

(479) 876-8550

Fax

(479) 208-4266

NPI assigned

Feb 6, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in AR

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, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

True Dermatology PLLCGroup PAC ID 4082926803, 15 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: tmckinney@truedermatology.emadirect.md
• Direct secure messaging: tmckinney@premierdermar.emadirect.md

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.

• True Dermatology PLLC

  • Dermatology Physician
  • Fayetteville, AR
  • NPI 1386022283

  AR

  Medicare reassignment Care Compare group
• Premier Dermatology & Skin Renewal Center

  • Clinical & Laboratory Dermatological Immunology Physician
  • Bentonville, AR
  • NPI 1912912361
  NPD (past)
• Kroeker Medical Incorporated

  • Primary Care Clinic/Center
  • Chouteau, OK
  • NPI 1831399815
  NPD (past)

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

{
    "created_epoch": "1328486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785110400000",
    "number": "1295007342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1651 E STEARNS ST STE 110",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727036196",
            "telephone_number": "479-208-4266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1651 E STEARNS ST STE 110",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727036196",
            "telephone_number": "479-876-8550",
            "fax_number": "479-208-4266"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14 Riordan Rd",
            "address_purpose": "LOCATION",
            "city": "Bella Vista",
            "state": "AR",
            "postal_code": "727143516",
            "country_code": "US",
            "telephone_number": "479-876-8550",
            "fax_number": "479-208-4266",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1110 SE 30th St",
            "address_purpose": "LOCATION",
            "city": "Bentonville",
            "state": "AR",
            "postal_code": "727124290",
            "country_code": "US",
            "telephone_number": "479-876-8550",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCKINNEY",
        "first_name": "TERESA",
        "middle_name": "BETH",
        "credential": "P.A.-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-02-06",
        "last_updated": "2026-07-27",
        "certification_date": "2026-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OK",
            "license": "3046",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AR",
            "license": "PA464",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tmckinney@truedermatology.emadirect.md",
            "affiliation": "N",
            "endpointDescription": "direct messaging",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "1651 E Stearns St Ste 110",
            "city": "Fayetteville",
            "state": "AR",
            "country_code": "US",
            "postal_code": "727036196",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Beth McKee, BCBA, MSED
• Gregory McKenzie, MD
• Martha Jo McKinney, APN
• Meredith Leigh McKinney, MD
• Mika Laray McKinney, CSFA
• Amanda Estelle McLarty
• Benjamin McLinn
• Amy Brown McMahan, MACCCSLP
• Andrea Elizabeth McMahon, MD
• Pamela A McMichael, MD

• All providers in Fayetteville, AR
• Physician Assistant in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2026; 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.