Individual provider Active NPI

Lilian Patrice McKinley, MD

  • Pediatrics Physician
  • State College, PA
National Provider Identifier
1396372074
Registry record updated Mar 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
MD480971 Issued in PA
Practice address
155 Wellness Way
State College, PA 16803-6702
Phone
(814) 278-4818
Fax
(814) 234-6150
NPI assigned
Mar 24, 2020
Last updated
Mar 26, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X MD480971 PA Primary
Pediatrics Physician 208000000X ML61058352 WA

Addresses

Primary practice location

155 Wellness Way
State College, PA 16803-6702

Mailing address

155 Wellness Way
State College, PA 16803-6702
Phone (814) 278-4818

Other practice location 1

4800 Sand Point Way NE # Oc.7830
Seattle, WA 98105-3901
Phone (206) 987-2525

Other practice location 2

129 Medical Park Ln
Bellefonte, PA 16823-9112
Phone (814) 355-3626

Other practice location 3

3901 S Atherton St Ste 6
State College, PA 16801-8324
Phone (814) 466-7921

Other practice location 4

143 Hospital Dr Ste 301
State College, PA 16803-5500
Phone (814) 466-7921

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230802003686 PA Practitioner - Pediatric Medicine 7416379060 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Alaska Native Tribal Health Consortium Current Accepting new patients
Mount Nittany Medical Center Health Services Inc Pediatrics CurrentSince Aug 28, 2023 Accepting new patients
Mount Nittany Medical Center Health Services Inc PastSince Aug 28, 2023 Accepting new patients
Mount Nittany Medical Center Past Accepting new patients

Locations

129 Medical Park Ln
Bellefonte, PA 16823
Phone (814) 355-2762

141 Medical Park Ln
Bellefonte, PA 16823
Phone (814) 355-7322

143 Hospital Dr
Ste 301
State College, PA 16803
Phone (814) 231-6862

155 Wellness Way
State College, PA 16803
Phone (800) 367-0179

164 Greenview Dr
Ste 145
State College, PA 16803

1850 E Park Ave
Ste 201
State College, PA 16803
Phone (814) 234-8800

3901 S Atherton St
Ste 5
State College, PA 16801
Phone (814) 466-7921

3901 S Atherton St
Ste 6
State College, PA 16801
Phone (814) 466-6396

Interoperability endpoints

  • Direct secure messaging: lpmckinley@direct.anthc.org

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1585008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774483200000",
    "number": "1396372074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 WELLNESS WAY",
            "city": "STATE COLLEGE",
            "state": "PA",
            "postal_code": "168036702",
            "telephone_number": "814-278-4818",
            "fax_number": "814-234-6150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 WELLNESS WAY",
            "city": "STATE COLLEGE",
            "state": "PA",
            "postal_code": "168036702",
            "telephone_number": "814-278-4818",
            "fax_number": "814-234-6150"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4800 Sand Point Way NE # Oc.7830",
            "address_purpose": "LOCATION",
            "city": "Seattle",
            "state": "WA",
            "postal_code": "981053901",
            "country_code": "US",
            "telephone_number": "206-987-2525",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "129 Medical Park Ln",
            "address_purpose": "LOCATION",
            "city": "Bellefonte",
            "state": "PA",
            "postal_code": "168239112",
            "country_code": "US",
            "telephone_number": "814-355-3626",
            "fax_number": "814-355-8479",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3901 S Atherton St Ste 6",
            "address_purpose": "LOCATION",
            "city": "State College",
            "state": "PA",
            "postal_code": "168018324",
            "country_code": "US",
            "telephone_number": "814-466-7921",
            "fax_number": "814-466-6570",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "143 Hospital Dr Ste 301",
            "address_purpose": "LOCATION",
            "city": "State College",
            "state": "PA",
            "postal_code": "168035500",
            "country_code": "US",
            "telephone_number": "814-466-7921",
            "fax_number": "814-466-6570",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCKINLEY",
        "first_name": "LILIAN",
        "middle_name": "PATRICE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-24",
        "last_updated": "2026-03-26",
        "certification_date": "2026-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "PA",
            "license": "MD480971",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "WA",
            "license": "ML61058352",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in State College, PA

Sources for this page

Verify at the official NPI Registry.