Samantha Renee McKinney, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA2019 Issued in KY

Practice address

784 Highway 36
Frenchburg, KY 40322-8123

Phone

(606) 768-9190

Fax

(606) 768-9180

NPI assigned

Aug 12, 2015

Last updated

Dec 28, 2016By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Samantha Renee Bailey Former name

Medicare fee-for-service enrollment

Enrolled in KY

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, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Community Family Clinic PLLCGroup PAC ID 7214940790, 14 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Saint Joseph Mount Sterling Hospital, Mount Sterling, KY, CCN 180064

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: samantha.mckinney@commfam.eclinicaldirectplus.com

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.

• Community Family Clinic PLLC

  • Rural Health Clinic/Center
  • Frenchburg, KY
  • NPI 1427082338
  Medicare reassignment Care Compare group NPD
• Casa San Pio Clinics of Appalachia, LLC

  • Rural Health Clinic/Center
  • Stanton, KY
  • NPI 1982976700
  Medicare reassignment
• Community Family Clinic PLLC

  • Rural Health Clinic/Center
  • Mt Sterling, KY
  • NPI 1598963910
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Saint Joseph Health System, Inc

  dba CHI Saint Joseph Mount Sterling

  • General Acute Care Hospital
  • Mt Sterling, KY
  • NPI 1679679146
  Care Compare affiliation

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

{
    "created_epoch": "1439337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1482883200000",
    "number": "1629444849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "784 HIGHWAY 36",
            "city": "FRENCHBURG",
            "state": "KY",
            "postal_code": "403228123",
            "telephone_number": "606-768-9190",
            "fax_number": "606-768-9180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "784 HIGHWAY 36",
            "city": "FRENCHBURG",
            "state": "KY",
            "postal_code": "403228123",
            "telephone_number": "606-768-9190",
            "fax_number": "606-768-9180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKINNEY",
        "first_name": "SAMANTHA",
        "middle_name": "RENEE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-12",
        "last_updated": "2016-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "KY",
            "license": "PA2019",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100378300",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SAMANTHA",
            "last_name": "BAILEY",
            "middle_name": "RENEE",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Lorraine Martin, CSW
• Cassie Mason
• Samantha May
• Carrie McClain
• Kaylee Marie McFarland, PTA
• Menifee Co Elementary
• Menifee Co Health Department
• Menifee Co High Middle School
• Menifee County Ambulance Taxing District
• Menifee County Board of Education

• Physician Assistant in Frenchburg, KY
• Providers in Frenchburg, KY by specialty
• Physician Assistant in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2016; 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.