Individual provider Active NPI

Kate McKinnon, PA-C

  • Physician Assistant
  • Munster, IN
National Provider Identifier
1306474713
Registry record updated Feb 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
10004481A Issued in IN
Practice address
801 Macarthur Blvd Ste 305
Munster, IN 46321-2920
Phone
(219) 703-2401
Fax
(219) 703-6687
NPI assigned
Mar 31, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 10004481A IN Primary

Addresses

Primary practice location

801 Macarthur Blvd Ste 305
Munster, IN 46321-2920

Mailing address

1400 S Michigan Ave Apt 702
Chicago, IL 60605-3716
Phone (224) 305-4143

Other names 1

  • Kate Shewmon Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, IN2 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
I20210602002300 IL Practitioner - Physician Assistant 1355740861 Reassigns benefits to 2 organizations
I20240819002890 IN Practitioner - Physician Assistant 1355740861 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Care Network IncGroup PAC ID 3678737012, 378 clinicians

Practice addresses (Care Compare)

801 Macarthur Blvd
Suite 305
Munster, IN 46321-2920
Phone (219) 703-2401

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
The University of Chicago Medical Center CurrentSince Apr 1, 2021 Accepting new patients
The University of Chicago Medical Center CurrentSince Apr 1, 2021 Accepting new patients
Community Care Network Inc Physician Assistant CurrentSince Sep 30, 2024 Accepting new patients

Locations

150 Harvester Dr
Ste 300
Burr Ridge, IL 60527
Phone (773) 702-1061

5758 S Maryland Ave
Chicago, IL 60637
Phone (773) 702-1865

4321 Fir St
East Chicago, IN 46312
Phone (219) 392-1700

1400 S Lake Park Ave
Ste 300
Hobart, IN 46342
Phone (219) 942-1169

8558 Broadway
Merrillville, IN 46410
Phone (219) 392-7084

801 MacArthur Blvd
Ste 305
Munster, IN 46321
Phone (219) 703-2401

9120 Columbia Ave
Munster, IN 46321
Phone (219) 513-9415

9130 Columbia Ave
Ste A
Munster, IN 46321
Phone (219) 365-1166

Organizations & group practices 4

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 6

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": "1585612800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771113600000",
    "number": "1306474713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 S MICHIGAN AVE APT 702",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606053716",
            "telephone_number": "224-305-4143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 MACARTHUR BLVD STE 305",
            "city": "MUNSTER",
            "state": "IN",
            "postal_code": "463212920",
            "telephone_number": "219-703-2401",
            "fax_number": "219-703-6687"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKINNON",
        "first_name": "KATE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-31",
        "last_updated": "2026-02-15",
        "certification_date": "2026-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IN",
            "license": "10004481A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATE",
            "last_name": "SHEWMON",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Munster, IN

Sources for this page

Verify at the official NPI Registry.