DR. MELISSA A MCKINNEY (D.O.) – Family Medicine Physician, NPI 1124112123

DR. MELISSA A MCKINNEY (D.O.) is a healthcare provider. based in Dallas, Texas. specializing in FAMILY PRACTICE. They hold the professional credentials D.O.. They hold a License No. DOS-1778 (HI). The NPI Number for DR. MELISSA A MCKINNEY (D.O.) is 1124112123

Main info

Female
26 Years Of Experience
Accepts Medicare Assignment
Name
DR. MELISSA A MCKINNEY (D.O.)
NPI
1124112123
Phone
(214) 754-8700
Address
3100 McKinnon St
Enumeration Date
3 October 2006
Last Update Date
21 July 2022

Doctor Profile

Medical School Name
WESTERN UNIVERSITY OF HEALTH SCIENCES COLLEGE OF DENTAL MED
Secondary Phone
8087919400
Graduation Year
2000 (26 years ago)
PAC ID
2163313073
Group Practice PAC ID
0547258741
Professional Enrollment ID
I20171113002966
Address ID
HI968193038HO3659XSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

8,706 FAMILY PRACTICE in TX

Provider Addresses for DR. MELISSA A MCKINNEY (D.O.)

  • 3100 McKinnon St

    Suite 400

    Dallas, TX 752011044

    Phone: (214) 754-8700

    Fax: (469) 893-1938

    Type: Location

  • 400 HOBRON LN APT 1601

    HONOLULU, HI 968151203

    Phone: (971) 804-6641

    Type: Mailing

  • 915, North King Street, Iwilei, Honolulu, Honolulu County, Hawaii, 96817, United States

    HONOLULU, HI 968174544

    Phone: (808) 848-1438

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2017-11-13

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
I20171113002966IFamily PracticeHITBD

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 75201)

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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: 0547258741View full group profile
NameSpecialtyState
-MP
O P T O M E T R YVA
Internal MedicineWA
Nurse PractitionerMS
Nurse PractitionerHI
Nurse PractitionerMN
Preventive Medicine, General PracticeHI
-HI
Nurse PractitionerHI
O B S T E T R I C S/ G Y N E C O L O G YHI

Reviews

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Frequently asked questions

Can I cross-check DR. MELISSA A MCKINNEY (D.O.) using NPI 1124112123?
NPI 1124112123 belongs to DR. MELISSA A MCKINNEY (D.O.); compare other details if you need extra assurance.
Is DR. MELISSA A MCKINNEY (D.O.) shown as active in public data?
Registry records indicate DR. MELISSA A MCKINNEY (D.O.) maintains an active NPI.
How would a patient describe DR. MELISSA A MCKINNEY (D.O.)'s focus?
For DR. MELISSA A MCKINNEY (D.O.), the primary taxonomy reads as Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Where in Texas is DR. MELISSA A MCKINNEY (D.O.) registered?
Use Dallas, Texas as the headline location for DR. MELISSA A MCKINNEY (D.O.) here.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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