Individual provider Active NPI

Amanda Leigh McKenna, MD

  • Endocrinology, Diabetes & Metabolism Physician
  • Wilmington, DE
National Provider Identifier
1295239077
Registry record updated Nov 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
C1-0027528 Issued in DE
Practice address
501 W 14TH St FL 4
Wilmington, DE 19801-1013
Phone
(302) 623-3475
Fax
(302) 661-3070
NPI assigned
Mar 19, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2024

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD486296 PA
Internal Medicine Physician 207R00000X C1-0027528 DE
Internal Medicine Physician 207R00000X TRN26268 FL
Endocrinology, Diabetes & Metabolism Physician 207RE0101X MD486296 PA
Endocrinology, Diabetes & Metabolism Physician 207RE0101X ME141665 FL
Endocrinology, Diabetes & Metabolism Physician 207RE0101X C1-0027528 DE Primary

Addresses

Primary practice location

501 W 14TH St FL 4
Wilmington, DE 19801-1013

Mailing address

501 W 14TH St FL 4
Wilmington, DE 19801-1013
Phone (302) 623-3475

Other practice location 1

161 Wilmington W Chester Pike
Chadds Ford, PA 19317-9041
Phone (610) 361-1042

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address amckenna391473@ehrdirect.mayoclinicmsg.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, DE2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20241204000045 PA Practitioner - EndocrinologyPractitioner - Internal Medicine 6406103688 Reassigns benefits to 2 organizations
I20241204000110 DE Practitioner - EndocrinologyPractitioner - Internal Medicine 6406103688 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
EndocrinologyAlso: Internal Medicine
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Christiana Care Pennsylvania IncGroup PAC ID 8921549973, 176 clinicians
Christiana Care Health Services IncGroup PAC ID 9739097569, shared by 25 NPIs, 1,480 clinicians

Practice addresses (Care Compare)

161 Wilimington W Chester Pike
Chadds Ford, PA 19317-9041
Phone (302) 320-9440

161 Wilmington W Chester Pike
CCHS Concord Endocrinology
Chadds Ford, PA 19317-9041
Phone (610) 361-1042

501 W 14TH St Wilmington Hospital
CCHS Diabetes and Metabolic
Wilmington, DE 19801-1013
Phone (302) 661-3070

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
84.24 of 100Reported as group
Quality
74.85
Promoting interoperability
100
Improvement activities
40
Cost
72.62

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
TRN26268FLMDInternal Medicine Physician
C1-0027528DEMDEndocrinology, Diabetes & Metabolism Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Christiana Care Health Services Inc Current Accepting new patients
Christiana Care Health Services Inc Endocrinology, Diabetes & Metabolism CurrentSince Nov 22, 2024 Accepting new patients
Christiana Care Health Services, Inc Endocrinology, Diabetes & Metabolism Current Accepting new patients
Christiana Care Pennsylvania Inc Current Accepting new patients
Christiana Care Pennsylvania Inc CurrentSince May 6, 2025 Accepting new patients
Christiana Care Health Services Inc CurrentSince Nov 22, 2024 Accepting new patients
Christiana Care Health Services Inc CurrentSince Nov 22, 2024 Accepting new patients
Christiana Care Pennsylvania Inc CurrentSince May 6, 2025 Accepting new patients

Locations

501 W 14th St
Fl 4
Wilmington, DE 19801
Phone (302) 623-3475

501 W 14th St
#4
Wilmington, DE 19801
Phone (302) 661-3070

1401 Foulk Rd
Ste 100B
Wilmington, DE 19803
Phone (302) 320-9440

3506 Kennett Pike
Wilmington, DE 19807
Phone (302) 661-3000

161 Wilmington W Chester Pike
#P
Chadds Ford, PA 19317
Phone (610) 361-1042

161 Wilmington W Chester Pike
Chadds Ford, PA 19317
Phone (610) 361-1060

900 W Baltimore Pike
Ste 102
West Grove, PA 19390
Phone (302) 838-3088

Interoperability endpoints

  • Direct secure messaging: amckenna391473@ehrdirect.mayoclinicmsg.org

Organizations & group practices 8

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1521417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732233600000",
    "number": "1295239077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 W 14TH ST FL 4",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198011013",
            "telephone_number": "302-623-3475",
            "fax_number": "302-661-3070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 W 14TH ST FL 4",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198011013",
            "telephone_number": "302-623-3475",
            "fax_number": "302-661-3070"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "161 Wilmington W Chester Pike",
            "address_purpose": "LOCATION",
            "city": "Chadds Ford",
            "state": "PA",
            "postal_code": "193179041",
            "country_code": "US",
            "telephone_number": "610-361-1042",
            "fax_number": "610-361-1052",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCKENNA",
        "first_name": "AMANDA",
        "middle_name": "LEIGH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-19",
        "last_updated": "2024-11-22",
        "certification_date": "2024-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD486296",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "DE",
            "license": "C1-0027528",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "TRN26268",
            "primary": false
        },
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "PA",
            "license": "MD486296",
            "primary": false
        },
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "FL",
            "license": "ME141665",
            "primary": false
        },
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "DE",
            "license": "C1-0027528",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "amckenna391473@ehrdirect.mayoclinicmsg.org",
            "affiliation": "N",
            "address_1": "4500 San Pablo Rd S",
            "city": "Jacksonville",
            "state": "FL",
            "country_code": "US",
            "postal_code": "32224",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Wilmington, DE

Sources for this page

Verify at the official NPI Registry.