Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jonathan Lucero McKinney, PA-C

Individual provider Physician Assistant · NPI 1144951369

Jonathan Lucero McKinney, PA-C is a Physician Assistant in Providence, Rhode Island. Qualified in 2022, 4 years ago. Practices with Adventist Health System Sunbelt, Inc, a 209-clinician group, works from 5 locations and accepts Medicare assignment. Licensed in Rhode Island.

Years since qualifying
4
Licensed in
RI
In the registry since
2022
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

825 Chalkstone Ave
Providence, RI 02908-4728
Phone: (401) 456-2000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (4)

  • 200 High Service Ave, North Providence, RI 02904-5113 — (401) 456-3000
  • 21 Division St, Pawtucket, RI 02860-5352 — (401) 727-4800
  • 40 Princeton Ave, Providence, RI 02907-4115 — (717) 673-7066
  • 455 Toll Gate Rd, Warwick, RI 02886-2759 — (401) 737-7010

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA01489 (RI)

Record details

NPI number1144951369
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorYes
NPI enumeratedJune 20, 2022
Last updated in NPPESMarch 26, 2024
Certification dateMarch 26, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Adventist Health System Sunbelt, Inc. — 209 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Providence