Individual provider Active NPI

Ivy J McKinney, FNP

  • Nurse Practitioner
  • Houston, TX
National Provider Identifier
1699981936
Registry record updated Feb 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
506397 Issued in TX
Practice address
6431 Fannin St
Houston, TX 77030-1501
Phone
(713) 500-0625
NPI assigned
May 15, 2007
Last updated
Feb 1, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 506397 TX Primary

Addresses

Primary practice location

6431 Fannin St
Houston, TX 77030-1501

Mailing address

6431 Fannin St
Houston, TX 77030-1501
Phone (713) 500-0625

Other identifiers 1

IdentifierTypeStateIssuer
8Y1908OtherTXBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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

Enrollment IDStateProvider typePAC IDDetails
I20080103000031 TX Practitioner - Nurse Practitioner 8921188988 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Memorial Hermann Urgent Care PLLCGroup PAC ID 4880071679, 115 clinicians

Practice addresses (Care Compare)

100 Medical Dr
Lake Jackson, TX 77566-5674
Phone (469) 420-5527

1227 Museum Square Dr
Sugar Land, TX 77479-4629
Phone (281) 265-8125

12740 Memorial Dr
Houston, TX 77024-4861
Phone (832) 658-3110

1505 E Winding Way Dr
Suite 112 Memorial Hermann Gohealth UC
Friendswood, TX 77546-5395
Phone (281) 993-3860

1911 Taylor St
Suite E
Houston, TX 77007-3991
Phone (346) 327-8553

19419 Gulf Fwy
Webster, TX 77598-2807
Phone (281) 316-0885

2510 Smith Ranch Rd
Suite 102
Pearland, TX 77584-5209
Phone (346) 439-7481

3501 W Holcombe Blvd
Memorial Hermann Gohealth UC
Houston, TX 77025-1313
Phone (713) 814-2680

4057 Riley Fuzzel Rd
Spring, TX 77386-4632
Phone (281) 602-0450

5102 FM 1463 Rd
Katy, TX 77494-7870
Phone (281) 574-1104

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
84.11 of 100Reported as group
Quality
69.15
Promoting interoperability
100
Improvement activities
40
Cost
73.63

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
506397TXMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Memorial Hermann Medical Group CurrentSince Oct 1, 2024 Accepting new patients
Ut Physicians Nurse Practitioner CurrentSince Mar 1, 2012 Accepting new patients
Ut Physicians CurrentSince Mar 1, 2012 Accepting new patients
Texas Em-I Medical Services PA Nurse Practitioner CurrentSince May 1, 2015 Accepting new patients
Texas Em-I Medical Services PA Nurse Practitioner CurrentSince May 1, 2015 Accepting new patients
Memorial Hermann Urgent Care PLLC CurrentSince Oct 1, 2024 Accepting new patients
Ess of Nacogdoches LLC CurrentSince Jul 4, 2024 Accepting new patients
Integrative Emergency Services Physician Group-Houston PLLC CurrentSince Jun 1, 2021 Accepting new patients
Doctors Express of the Beaumont Area PA CurrentSince Jan 1, 2020 Accepting new patients
Southlake Doctors Express, PA PSC Current Accepting new patients
PRMC ER Group Inc Past Accepting new patients
Singleton Associates PA Nurse Practitioner Past Accepting new patients
Utmb Faculty Group Practice Past Accepting new patients

Locations (25 of 30)

132 E Hospital Dr
Angleton, TX 77515
Phone (210) 629-3866

8831 N Highway 146
Baytown, TX 77523
Phone (281) 533-8354

3195 Dowlen Rd
Ste 105
Beaumont, TX 77706
Phone (409) 860-1888

1505 E Winding Way Dr
Ste 112
Friendswood, TX 77546
Phone (281) 993-3860

1505 E Winding Way Dr
Ste 200
Friendswood, TX 77546
Phone (713) 366-7800

301 University Blvd
Galveston, TX 77555
Phone (409) 747-1883

13111 East Fwy
Houston, TX 77015
Phone (713) 393-2000

1401 St Joseph Pkwy
Houston, TX 77002
Phone (713) 575-1000

1801 North Loop W
Ste 30
Houston, TX 77008
Phone (713) 802-9781

5568 Weslayan St
Houston, TX 77005
Phone (713) 666-7050

6410 Fannin St
Ste 500
Houston, TX 77030
Phone (713) 500-5714

6411 Fannin St
Houston, TX 77030
Phone (713) 500-6200

6431 Fannin St
Houston, TX 77030
Phone (713) 500-5800

915 Gessner Rd
Ste 100
Houston, TX 77024
Phone (713) 242-2222

540 Interstate 45 S
Ste E
Huntsville, TX 77340
Phone (936) 755-8288

6445 FM 1463 Rd
Ste 230
Katy, TX 77494
Phone (281) 990-6890

8850 Spencer Hwy
La Porte, TX 77571
Phone (281) 946-9980

100 Medical Dr
Lake Jackson, TX 77566
Phone (713) 496-7555

1204 N Mound St
Nacogdoches, TX 75961
Phone (936) 564-4611

2900 S Loop 256
Palestine, TX 75801
Phone (903) 731-1021

4000 Spencer Hwy
Pasadena, TX 77504
Phone (713) 359-1000

5161 E Sam Houston Pkwy S
Pasadena, TX 77505
Phone (281) 810-9326

11100 Shadow Creek Pkwy
Pearland, TX 77584
Phone (713) 770-7000

11713 Shadow Creek Pkwy
Pearland, TX 77584
Phone (713) 793-4600

2510 Smith Ranch Rd
Ste 102
Pearland, TX 77584
Phone (346) 439-7481

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/AACHCD

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 1

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": "1179187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675209600000",
    "number": "1699981936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6431 FANNIN ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770301501",
            "telephone_number": "713-500-0625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6431 FANNIN ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770301501",
            "telephone_number": "713-500-0625"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKINNEY",
        "first_name": "IVY",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-15",
        "last_updated": "2023-02-01",
        "certification_date": "2023-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "506397",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8Y1908",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.