JORDAN B MCKINNEY (PA-C) – Physician Assistant, NPI 1134525298

JORDAN B MCKINNEY (PA-C) is a healthcare provider. based in Indianapolis, Indiana. specializing in Physician Assistant. They hold the professional credentials PA-C. They hold a License No. 50004211 (OH). The NPI Number for JORDAN B MCKINNEY (PA-C) is 1134525298

Main info

Female
12 Years Of Experience
Accepts Medicare Assignment
Name
JORDAN B MCKINNEY (PA-C)
NPI
1134525298
Phone
(317) 962-3834
Address
250 N SHADELAND AVE STE 200
Enumeration Date
17 November 2014
Last Update Date
6 November 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2014 (12 years ago)
PAC ID
6406179225
Group Practice PAC ID
5799755864
Professional Enrollment ID
I20180418002563

Contacts

Secure Messaging
jmckinney5@direct.iuhealth.org
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience69
Completeness85
Years active:11State licenses:3Other namesUpdated within 12 months

Provider Addresses for JORDAN B MCKINNEY (PA-C)

  • 250 N SHADELAND AVE STE 200

    INDIANAPOLIS, IN 462194959

    Phone: (317) 962-3834

    Type: Mailing

  • 1 ROSS PARK BLVD

    SUITE G-2

    STEUBENVILLE, OH 439522681

    Phone: (740) 346-2014

    Fax: (740) 346-2013

    Type: Location

  • 1300 ANDERSON BLVD

    GREENFIELD, IN 461407934

    Phone:

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $37.

Total Amount is formed as General ($37) + Research ($0) + Ownership ($0) = $37.

Last reported payment date: 2023-02-14 • Largest payer in this snapshot: Exact Sciences Corporation ($37).

Total Amount

$37

General + Research + Ownership

Payments

2

Total payment records

General Amount

$37

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-02-14

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2018-04-18

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20180418002563IPhysician AssistantINTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes9484$0
99213Established patient office or other outpatient visit, 20-29 minutes3937$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit1818$0
View full utilization report →

Insurance plans in this area (ZIP 46219)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5799755864View full group profile

Reviews

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Frequently asked questions

What federal number belongs to JORDAN B MCKINNEY (PA-C)?
The federal identifier for JORDAN B MCKINNEY (PA-C) is NPI 1134525298.
Is JORDAN B MCKINNEY (PA-C) active in the national directory?
JORDAN B MCKINNEY (PA-C)'s public NPI profile is in an active state.
What kind of provider is JORDAN B MCKINNEY (PA-C)?
The page reflects Physician Assistant for JORDAN B MCKINNEY (PA-C). Clinical services aligned with this taxonomy classification.
Where is JORDAN B MCKINNEY (PA-C)'s primary listing?
We display Indianapolis, Indiana because that is what the record indicates for JORDAN B MCKINNEY (PA-C).
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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