Sara McKinniss, PA-C
Individual provider Active NPI Medical Physician Assistant · McCordsville, IN
NPI 1548944259 · NPPES record last updated Jun 16, 2026
Key facts
- NPI
- 1548944259
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Medical Physician Assistant 363AM0700X
- License
- 10004807A (IN)
- Practice address
- 8870 Lowell St
McCordsville, IN 46055-9825 - Phone
- (217) 821-2510
- NPI assigned
- Jun 13, 2023
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230824001964 | MI | Practitioner - Physician Assistant | 3577926542 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Interoperability endpoints
- sara.ragland@krogerhealth.eclinicaldirectplus.com
- inksterwestlandurgentcarepc.sararagland@156353.advancedmd-direct.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 10004807A | IN | |
| Medical Physician Assistant | 363AM0700X | 10004807A | IN | Yes |
Addresses
Primary practice location
8870 Lowell St
McCordsville, IN 46055-9825
Mailing address
8870 Lowell St
McCordsville, IN 46055-9825
Phone (217) 821-2510
Other providers in McCordsville, IN
- Janice S Lumnitz
- McColley Eyecare Professional Corporation
- McCordsville Holistic Chiropractic Center
- McCordsville Senior Living, LLC
- McDonald Family Dentistry PC
- Sean McNulty
- Nicole Tares McVea
- Meijer Stores Limited Partnership
- Mentoring With Magic LLC
- Daniel Meyer
All providers in McCordsville, IN · Medical Physician Assistant in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 16, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.