Hayden Boyd McNeill, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA12705 Issued in TX

Practice address

17376 Northwest Fwy
Jersey Village, TX 77040-1114

Phone

(832) 919-8484

Fax

(832) 919-8446

NPI assigned

Mar 5, 2019

Sex

Male

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Other identifiers 2

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

Specialty

Physician Assistant

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Houston Carenow Urgent Care PLLCGroup PAC ID 7012291958, 113 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: hayden.mcneill.1@8042.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.

• Houston Carenow Urgent Care PLLC

  • Family Medicine Physician
  • Magnolia, TX
  • NPI 1093251860
  Medicare reassignment Care Compare group
• Privia Medical Group Gulf Coast, PLLC

  • Obstetrics & Gynecology Physician
  • Houston, TX
  • NPI 1578969465
  Medicare reassignment NPD
• St. Elizabeth Physician Group, PLLC

  • Family Medicine Physician
  • Dickinson, TX
  • NPI 1659852234
  Medicare reassignment
• Privia Medical Group Gulf Coast PLLC

  • Interventional Pain Medicine Physician
  • San Antonio, TX
  • NPI 1457167033
  NPD

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

{
    "created_epoch": "1551744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659484800000",
    "number": "1710445119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1802 28TH AVE N",
            "city": "TEXAS CITY",
            "state": "TX",
            "postal_code": "775904134",
            "telephone_number": "409-750-2250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17376 NORTHWEST FWY",
            "city": "JERSEY VILLAGE",
            "state": "TX",
            "postal_code": "770401114",
            "telephone_number": "832-919-8484",
            "fax_number": "832-919-8446"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "676 Fm 517 Rd W",
            "address_purpose": "LOCATION",
            "city": "Dickinson",
            "state": "TX",
            "postal_code": "775393904",
            "country_code": "US",
            "telephone_number": "409-572-2535",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCNEILL",
        "first_name": "HAYDEN",
        "middle_name": "BOYD",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-03-05",
        "last_updated": "2022-08-03",
        "certification_date": "2022-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "TEMPORARY",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA12705",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "TX",
            "license": "TEMPORARY",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "TX",
            "license": "PA12705",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCCPA ID",
            "identifier": "1161319",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "PA12705",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lara Nicole Leventhal, OT
• Hannah Matney, OTR/L
• Haley Guillot McDougal, OTR
• Lauren McGee, LCDC
• Amber D McKenzie, RN, FNP
• Malorie Melson
• Courtney Mendoza, LCDC
• Erin Merideth
• Travis Chandler Miller, PT, DPT
• Madison Mitchell, OTD, OTR/L

• Medical Physician Assistant in Jersey Village, TX
• Providers in Jersey Village, TX by specialty
• Medical Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2022; 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.