Individual provider Active NPI

Christopher Lee McKenney, PA-C

  • Physician Assistant
  • North Chesterfield, VA
National Provider Identifier
1164505863
Registry record updated May 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0110004290 Issued in VA
Practice address
1000 Boulders Pkwy Ste 101
North Chesterfield, VA 23225-5515
Phone
(804) 320-4243
Fax
(804) 622-0552
NPI assigned
Oct 24, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 20, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 0701002996 VA
Physician Assistant 363A00000X 0110004290 VA Primary

Addresses

Primary practice location

1000 Boulders Pkwy Ste 101
North Chesterfield, VA 23225-5515

Mailing address

1000 Boulders Pkwy Ste 102
North Chesterfield, VA 23225-5515
Phone (804) 320-4243

Other identifiers 1

IdentifierTypeStateIssuer
005413583MedicaidVA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address christophermckenney@par.allscriptsdirect.net

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20131001000498 VA Practitioner - Physician Assistant 7719111939 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Eastern Virginia Medical School, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Pulmonary Associates of Richmond IncGroup PAC ID 8123095577, 49 clinicians

Practice addresses (Care Compare)

1000 Boulders Pkwy
North Chesterfield, VA 23225-5515

2354 Colony Crossing PL
Midlothian, VA 23112-4280
Phone (804) 639-9910

Merit-based Incentive Payment System (MIPS)

Final score
84.54 of 100Reported as group
Quality
71.96
Promoting interoperability
99
Improvement activities
40
Cost
77.33

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
0701002996VAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Commonwealth Infectious Diseases, LLC Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: christophermckenney@par.allscriptsdirect.net

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621468800000",
    "number": "1164505863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 BOULDERS PKWY STE 102",
            "city": "NORTH CHESTERFIELD",
            "state": "VA",
            "postal_code": "232255515",
            "telephone_number": "804-320-4243",
            "fax_number": "804-622-0552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 BOULDERS PKWY STE 101",
            "city": "NORTH CHESTERFIELD",
            "state": "VA",
            "postal_code": "232255515",
            "telephone_number": "804-320-4243",
            "fax_number": "804-622-0552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKENNEY",
        "first_name": "CHRISTOPHER",
        "middle_name": "LEE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-24",
        "last_updated": "2021-05-20",
        "certification_date": "2021-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701002996",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "VA",
            "license": "0110004290",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "005413583",
            "state": "VA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "christophermckenney@par.allscriptsdirect.net",
            "affiliation": "N",
            "address_1": "1000 Boulders Pkwy Ste 101",
            "city": "North Chesterfield",
            "state": "VA",
            "country_code": "US",
            "postal_code": "232255515",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in North Chesterfield, VA

Sources for this page

Verify at the official NPI Registry.