CHANDLER B MCKINNEY (PA) – Physician Assistant, NPI 1205408820

CHANDLER B MCKINNEY (PA) is a healthcare provider. based in El dorado springs, Missouri. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA. They hold a License No. 2021021450 (MO). The NPI Number for CHANDLER B MCKINNEY (PA) is 1205408820

Main info

Female
6 Years Of Experience
Accepts Medicare Assignment
Name
CHANDLER B MCKINNEY (PA)
NPI
1205408820
Phone
(417) 876-2511
Address
1401 S PARK ST
Enumeration Date
13 July 2021
Last Update Date
12 November 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4178763333
Graduation Year
2020 (6 years ago)
PAC ID
7012319882
Group Practice PAC ID
7315841129
Professional Enrollment ID
I20210715003553
Address ID
MO647442302EL1317X32XX501
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness75
Years active:4State licenses:1Digital endpointsOther names

1,854 PHYSICIAN ASSISTANT in MO

Provider Addresses for CHANDLER B MCKINNEY (PA)

  • 1401 S PARK ST

    EL DORADO SPRINGS, MO 647442037

    Phone: (417) 876-2511

    Fax: (417) 876-3812

    Type: Mailing

  • 1317 S STATE HIGHWAY 32

    EL DORADO SPRINGS, MO 647442302

    Phone: (417) 876-3333

    Fax: (417) 876-4509

    Type: Location

  • 1401 S Park St

    El Dorado Springs, MO 647442037

    Phone: (417) 876-2511

    Fax: (417) 876-3812

    Type: Location

  • 1901 E 32ND ST STE 4

    JOPLIN, MO 648043071

    Phone: (417) 781-0250

    Fax: (417) 781-2581

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 30 Open Payments records for all available years, with a total value of $448.

Total Amount is formed as General ($448) + Research ($0) + Ownership ($0) = $448.

Last reported payment date: 2024-12-19 • Largest payer in this snapshot: ABBVIE INC. ($210).

Total Amount

$448

General + Research + Ownership

Payments

30

Total payment records

General Amount

$448

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-19

Latest reported date

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: 2021-07-15

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
I20210715003553IPhysician AssistantMOTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 64744)

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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: 7315841129View full group profile
NameSpecialtyState
Emergency Medicine, Internal MedicineTX
Internal Medicine, Hospitalist, Internal Medicine, HospitalistNE
Nurse PractitionerMO
Emergency MedicineMO
-MO
Nurse PractitionerMO
-MO
Emergency MedicineMO
-MO
Nurse PractitionerMO

Reviews

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Frequently asked questions

What unique ID ties claims to CHANDLER B MCKINNEY (PA)?
NPI 1205408820 is assigned to CHANDLER B MCKINNEY (PA) under the national enumeration system.
Is CHANDLER B MCKINNEY (PA) active in the national directory?
CHANDLER B MCKINNEY (PA)'s public NPI profile is in an active state.
What field does CHANDLER B MCKINNEY (PA) work in?
You can think of CHANDLER B MCKINNEY (PA) as practicing within Physician Assistant. Clinical services aligned with this taxonomy classification.
Does CHANDLER B MCKINNEY (PA) practice in Missouri?
You will see El Dorado Springs, Missouri on file for CHANDLER B MCKINNEY (PA) alongside any extra practice locations.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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