Individual provider Active NPI

McKinlay Marie Scott, PA-C

  • Physician Assistant
  • Farmington Hills, MI
National Provider Identifier
1477239648
Registry record updated Aug 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
28595 Orchard Lake Rd Ste 200
Farmington Hills, MI 48334-2979
Phone
(248) 553-0010
Fax
(248) 553-5957
NPI assigned
Jun 23, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2025

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 Primary

Addresses

Primary practice location

28595 Orchard Lake Rd Ste 200
Farmington Hills, MI 48334-2979

Mailing address

28595 Orchard Lake Rd Ste 200
Farmington Hills, MI 48334-2979
Phone (248) 553-0010

Other practice location 1

25100 Kelly Rd
Roseville, MI 48066-4910
Phone (248) 553-0010

Other names 1

  • Ms. McKinlay Marie Vercnocke Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL, MI2 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
I20230928000427 AL Practitioner - Physician Assistant 1557715372 Reassigns benefits to 1 organization
I20250402003320 MI Practitioner - Physician Assistant 1557715372 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Glendale Neurological Associates P CGroup PAC ID 5294778833, 40 clinicians

Practice addresses (Care Compare)

25100 Kelly Rd
Roseville, MI 48066-4910
Phone (248) 553-0010

28595 Orchard Lake Rd
Suite 200
Farmington Hills, MI 48334-2979
Phone (248) 553-0010

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2229ALMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
University of Alabama Health Services Foundation, PC CurrentSince Sep 1, 2023 Accepting new patients
University of Alabama Health Services Foundation, PC. CurrentSince Sep 1, 2023 Accepting new patients
West Michigan Aas LLC CurrentSince Jan 26, 2026 Accepting new patients

Locations

619 19th St S
Birmingham, AL 35249

1201 11th Ave S
Birmingham, AL 35205
Phone (205) 930-7100

Interoperability endpoints

  • Direct secure messaging: mmvercnocke@direct.uabmedicine.org
  • Direct secure messaging: mckinlay.vercnocke@mind.gwaydirect.com

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 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": "1687478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755734400000",
    "number": "1477239648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28595 ORCHARD LAKE RD STE 200",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483342979",
            "telephone_number": "248-553-0010",
            "fax_number": "248-553-5957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28595 ORCHARD LAKE RD STE 200",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483342979",
            "telephone_number": "248-553-0010",
            "fax_number": "248-553-5957"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "25100 Kelly Rd",
            "address_purpose": "LOCATION",
            "city": "Roseville",
            "state": "MI",
            "postal_code": "480664910",
            "country_code": "US",
            "telephone_number": "248-553-0010",
            "fax_number": "248-553-5957",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCOTT",
        "first_name": "MCKINLAY",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-23",
        "last_updated": "2025-08-21",
        "certification_date": "2025-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MCKINLAY",
            "last_name": "VERCNOCKE",
            "middle_name": "MARIE",
            "prefix": "MS.",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Farmington Hills, MI

Sources for this page

Verify at the official NPI Registry.