Individual provider Active NPI

Christina Rodriguez McKenna, MD

  • Ophthalmology Physician
  • Charlottesville, VA
National Provider Identifier
1497215339
Registry record updated Aug 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
0101279140 Issued in VA
Practice address
620 Berkmar Cir
Charlottesville, VA 22901-1464
Phone
(434) 220-3420
Fax
(434) 220-3422
NPI assigned
Mar 25, 2019
Reactivated
Aug 20, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 0101279140 VA Primary

Addresses

Primary practice location

620 Berkmar Cir
Charlottesville, VA 22901-1464

Mailing address

17 N Medical Park Dr
Fishersville, VA 22939-2344

Other practice location 1

1500 Commerce Rd
Staunton, VA 24401-9032
Phone (540) 213-7720

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, FL2 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
I20230815001658 VA Practitioner - Ophthalmology 9032446497 Reassigns benefits to 1 organization
I20260521000173 FL Practitioner - Ophthalmology 9032446497 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eye Associates of Tallahassee, P.a.Group PAC ID 7315900370, 10 clinicians

Practice addresses (Care Compare)

2020 Fleischmann Rd
Tallahassee, FL 32308-4599
Phone (850) 878-6161

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery350

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101279140VAMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Augusta Eye Associates PLC CurrentSince Aug 1, 2023 Accepting new patients
Vistar Eye Center, Inc CurrentSince Oct 1, 2024 Accepting new patients
Eye Associates of Tallahassee, P.a. Dba Eye Associates of North Florida Ophthalmology CurrentSince Jun 1, 2026 Accepting new patients
Vistar Eye Center, Inc CurrentSince Oct 1, 2024 Accepting new patients
Eye One, PLC Ophthalmology CurrentSince Aug 1, 2023 Accepting new patients

Locations

2020 Fleischmann Rd
Tallahassee, FL 32308
Phone (850) 878-6161

620 Berkmar Cir
Charlottesville, VA 22901
Phone (434) 220-3420

17 N Medical Park Dr
Fishersville, VA 22939
Phone (540) 213-7720

707 S Jefferson St
Roanoke, VA 24016
Phone (540) 344-4000

1500 Commerce Rd
Staunton, VA 24401
Phone (540) 213-7720

Interoperability endpoints

  • Direct secure messaging: christina.mckenna.p1@direct.eyeone.nextgenshare.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: christina.mckenna.p1@direct.vistareyecenter.nextgenshare.com

Organizations & group practices 5

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 1

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": "1553472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724803200000",
    "number": "1497215339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 N MEDICAL PARK DR",
            "city": "FISHERSVILLE",
            "state": "VA",
            "postal_code": "229392344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 BERKMAR CIR",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229011464",
            "telephone_number": "434-220-3420",
            "fax_number": "434-220-3422"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1500 Commerce Rd",
            "address_purpose": "LOCATION",
            "city": "Staunton",
            "state": "VA",
            "postal_code": "244019032",
            "country_code": "US",
            "telephone_number": "540-213-7720",
            "fax_number": "540-213-9441",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCKENNA",
        "first_name": "CHRISTINA",
        "middle_name": "RODRIGUEZ",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-25",
        "last_updated": "2024-08-28",
        "certification_date": "2024-08-28",
        "deactivation_date": "2024-08-16",
        "reactivation_date": "2024-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "VA",
            "license": "0101279140",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlottesville, VA

Sources for this page

Verify at the official NPI Registry.