DR. JAMES M MCKINNON (MD) – Psychiatry Physician, NPI 1154342962

DR. JAMES M MCKINNON (MD) is a healthcare provider. based in Longview, Washington. specializing in PSYCHIATRY. They hold the professional credentials MD. They hold a License No. 37129 (AZ). The NPI Number for DR. JAMES M MCKINNON (MD) is 1154342962

Main info

Male
Sole Proprietor
36 Years Of Experience
Name
DR. JAMES M MCKINNON (MD)
NPI
1154342962
Phone
(360) 414-2236
Address
600 Broadway St
Enumeration Date
21 July 2006
Last Update Date
9 April 2025

Doctor Profile

Medical School Name
UNIVERSITY OF OKLAHOMA COLLEGE OF MEDICINE
Secondary Phone
8082449056
Graduation Year
1990 (36 years ago)
PAC ID
9830258789
Group Practice PAC ID
9830476159
Professional Enrollment ID
I20180523002505
Address ID
HI967932526WA221XXSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience84
Completeness75
Years active:19State licenses:4Digital endpointsOther names

710 PSYCHIATRY in WA

Provider Addresses for DR. JAMES M MCKINNON (MD)

  • 600 Broadway St

    Longview, WA 986323256

    Phone: (360) 414-2236

    Fax: (360) 414-2024

    Type: Location

  • Maui Memorial Medical Center, 221, Mahalani Street, Wailuku, Maui County, Hawaii, 96793, United States

    WAILUKU, HI 967932526

    Phone: (808) 442-5823

    Fax: (808) 442-5910

    Type: Mailing

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: 2025-04-17

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20180523002505IPsychiatryHITBD
I20250417003011IPsychiatryWATBD

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
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes5514$0
View full utilization report →

Insurance plans in this area (ZIP 98632)

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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: 9830476159View full group profile
NameSpecialtyState
H E M A T O L O G Y/ O N C O L O G YWA
G A S T R O E N T E R O L O G YOR
Emergency MedicineCA
Pulmonary DiseaseFL
Emergency MedicineHI
Nurse PractitionerNC
Internal Medicine, Critical Care (Intensivists)HI
-HI
Internal Medicine, Pulmonary DiseaseHI
Orthopedic SurgeryHI

Reviews

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Frequently asked questions

How is DR. JAMES M MCKINNON (MD) identified in CMS data?
CMS-hosted NPPES data lists DR. JAMES M MCKINNON (MD) with NPI 1154342962.
Can I rely on DR. JAMES M MCKINNON (MD) being an active provider?
As of the registry snapshot, DR. JAMES M MCKINNON (MD) is marked active.
What is DR. JAMES M MCKINNON (MD)'s specialty?
The listing groups DR. JAMES M MCKINNON (MD) with Psychiatry Physician. Clinical services aligned with this taxonomy classification.
Where should I expect DR. JAMES M MCKINNON (MD) on a map?
Expect Longview, Washington as a primary anchor for DR. JAMES M MCKINNON (MD) unless the record lists multiple sites.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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