Kristie McLaren, R-PA

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

017920 Issued in NY

Practice address

365 County Road 39a
Suite 11
Southampton, NY 11968-5284

Phone

(631) 591-3992

Fax

(631) 591-0206

NPI assigned

Sep 3, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

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, 2014

Medicare assignment

May accept Medicare assignment

Group practices

Li Urgent Care PCGroup PAC ID 8426273210, 15 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Networks

• Healthfirst Medicare Network H9678
• Healthfirst Medicare Network H3359
• Healthfirst Medicare Network H1722
• Healthfirst Medicare Network H5989

Interoperability endpoints

• Direct secure messaging: kristie.mclaren.p1@direct.cwpw.nextgenshare.com
• Direct secure messaging: kristie.mclaren.1@8960.direct.athenahealth.com

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.

• Li Urgent Care PC

  • Urgent Care Clinic/Center
  • West Babylon, NY
  • NPI 1184047870
  Medicare reassignment Care Compare group
• Boston Children'S Health Physicians, LLP

  • Pediatrics Physician
  • Hawthorne, NY
  • NPI 1467454967
  Medicare reassignment
• Boston Childrens Health Physicians LLP

  • Clinical Medical Laboratory
  • Sleepy Hollow, NY
  • NPI 1588651079
  NPD

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

{
    "created_epoch": "1409702400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1409702400000",
    "number": "1679973176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "365 COUNTY ROAD 39A",
            "address_2": "SUITE 11",
            "city": "SOUTHAMPTON",
            "state": "NY",
            "postal_code": "119685284",
            "telephone_number": "631-591-3992",
            "fax_number": "631-591-0206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "365 COUNTY ROAD 39A",
            "address_2": "SUITE 11",
            "city": "SOUTHAMPTON",
            "state": "NY",
            "postal_code": "119685284",
            "telephone_number": "631-591-3992",
            "fax_number": "631-591-0206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCLAREN",
        "first_name": "KRISTIE",
        "credential": "R-PA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-09-03",
        "last_updated": "2014-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "NY",
            "license": "017920",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christopher Joseph McCord, PA
• Matthew Collins McDavid, LCSW
• Margaret McDonald, R.N.
• Erin E McGintee, M.D.
• Lauren Brittany McGraw, DO
• Darlene J McNeil, NNP
• Mary Luz McQuade, NP
• Meeting House Lane Medical Practice PC
• Francesca Mendola
• Antonia Mennis, LMT

• Surgical Physician Assistant in Southampton, NY
• Providers in Southampton, NY by specialty
• Surgical Physician Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2014; 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.