Individual provider Active NPI

Karen Elizabeth McKinley, PA-C

  • Physician Assistant
  • Broadlands, VA
National Provider Identifier
1649965153
Registry record updated Mar 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0110008967 Issued in VA
Practice address
43135 Broadlands Center PLZ
Broadlands, VA 20148-3803
Phone
(571) 206-0742
NPI assigned
Apr 10, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 0110-008967 VA
Physician Assistant 363A00000X 0110008967 VA Primary

Addresses

Primary practice location

43135 Broadlands Center PLZ
Broadlands, VA 20148-3803

Mailing address

915 W Redwood Rd
Sterling, VA 20164-5118
Phone (303) 570-8828

Other practice location 1

1897 Preston White Dr Ste 105
Reston, VA 20191-5475
Phone (703) 468-1270

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kmckinley1270607@soc.inova.org Health Information Exchange (HIE) Inova UCC LLC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, VA2 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
I20230824003547 DC Practitioner - Physician Assistant 8123080728 Reassigns benefits to 3 organizations
I20231017003928 VA Practitioner - Physician Assistant 8123080728 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Drexel University College of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Inova Ucc LLCGroup PAC ID 7012385040, 158 clinicians

Practice addresses (Care Compare)

11670 Sudley Manor Dr
Manassas, VA 20109-2842
Phone (571) 569-3526

1488 Northpoint VLG Ctr
Inova Ghlth Ucc Rest
Reston, VA 20194-1190
Phone (571) 525-5850

180 Maple Ave W
Vienna, VA 22180-5727
Phone (703) 938-5300

2415 Centreville Rd
Suite B6
Herndon, VA 20171-3029
Phone (571) 376-4000

24801 Pinebrook Rd
Suite 110
Chantilly, VA 20152-4113
Phone (703) 722-2500

300 Fort Evans Rd NE
Suite 103
Leesburg, VA 20176-4491
Phone (571) 252-9953

43135 Broadlands Ctr PLZ
Suite 123
Broadlands, VA 20148-3804
Phone (571) 206-0742

4320 Seminary Rd
Inova Alexandria Hospital ER
Alexandria, VA 22304-1535
Phone (330) 493-4443

6201 Centreville Rd
Suite 200
Centreville, VA 20121-2626
Phone (571) 549-8577

6218 N Kings Hwy
Suite B
Alexandria, VA 22303-2442
Phone (571) 560-2621

7637 Linton Hall Rd
Gainesville, VA 20155-2971
Phone (703) 743-7000

Merit-based Incentive Payment System (MIPS)

Final score
88.6 of 100Reported as group
Quality
84.42
Promoting interoperability
100
Improvement activities
40
Cost
77.58

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0110-008967VAMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Blue Ridge Healthcare Partners, LLC Past Accepting new patients
Short Pump Family Care, LLC PastSince Feb 1, 2016 Accepting new patients
Loudoun Medical Group, PC Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: kmckinley1270607@soc.inova.org

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1681084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711065600000",
    "number": "1649965153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "915 W REDWOOD RD",
            "city": "STERLING",
            "state": "VA",
            "postal_code": "201645118",
            "telephone_number": "303-570-8828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43135 BROADLANDS CENTER PLZ",
            "city": "BROADLANDS",
            "state": "VA",
            "postal_code": "201483803",
            "telephone_number": "571-206-0742"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1897 Preston White Dr Ste 105",
            "address_purpose": "LOCATION",
            "city": "Reston",
            "state": "VA",
            "postal_code": "201915475",
            "country_code": "US",
            "telephone_number": "703-468-1270",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCKINLEY",
        "first_name": "KAREN",
        "middle_name": "ELIZABETH",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-04-10",
        "last_updated": "2024-03-22",
        "certification_date": "2024-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "VA",
            "license": "0110-008967",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "VA",
            "license": "0110008967",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kmckinley1270607@soc.inova.org",
            "affiliation": "Y",
            "endpointDescription": "Health Information Exchange",
            "affiliationName": "Inova UCC LLC",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "43135 Broadlands Center Plz",
            "city": "Broadlands",
            "state": "VA",
            "country_code": "US",
            "postal_code": "201483803",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Broadlands, VA

Sources for this page

Verify at the official NPI Registry.