Andrea Lynn McLin, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

2011026869 Issued in MO

Practice address

204 WJ Boaz Rd Ste 200
Saginaw, TX 76179-4396

Phone

(817) 529-1400

Fax

(972) 712-7171

NPI assigned

Sep 19, 2010

Last updated

Mar 17, 2018By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Epiphany Dermatology PAGroup PAC ID 3971827791, 106 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

83.97 of 100Reported as group

Quality

76.91

Promoting interoperability

91

Improvement activities

40

Cost

77.16

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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.

• Epiphany Dermatology PA

  • Dermatology Physician
  • Waco, TX
  • NPI 1043615263
  Medicare reassignment Care Compare group
• R Todd Plott MD PA

  dba Dermatology Alliance - Keller

  • Dermatology Physician
  • Fort Worth, TX
  • NPI 1134426794
  NPD

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

{
    "created_epoch": "1284854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1780992263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1208",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750340021",
            "telephone_number": "316-640-6334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 WJ BOAZ RD STE 200",
            "city": "SAGINAW",
            "state": "TX",
            "postal_code": "761794396",
            "telephone_number": "817-529-1400",
            "fax_number": "972-712-7171"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4320 Wornall Rd",
            "address_2": "Suite 50",
            "address_purpose": "LOCATION",
            "city": "Kansas City",
            "state": "MO",
            "postal_code": "64111",
            "country_code": "US",
            "telephone_number": "816-931-3312",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9191 Kyser Way",
            "address_purpose": "LOCATION",
            "city": "Frisco",
            "state": "TX",
            "postal_code": "750331902",
            "country_code": "US",
            "telephone_number": "972-712-3131",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCLIN",
        "first_name": "ANDREA",
        "middle_name": "LYNN",
        "name_prefix": "Miss",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-09-19",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "KS",
            "license": "15-01417",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "MO",
            "license": "2011026869",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Caitlin Martin
• Matthew W. Cerniglia, DPM, PA
• Jennifer McCormick
• Cara McGarrah, DDS
• Melody Ann McLaughlin, APRN, RN
• Connor McNeill
• Med Southwest, PLLC (MyEyeDr.)
• Latoyia Medina, LCSW
• Eva Milam, SLP
• Felicia Michelle Miles, APRN

• Medical Physician Assistant in Saginaw, TX
• Providers in Saginaw, 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 Mar 17, 2018; 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.