Individual provider Active NPI

McKenna Jo Merten, PA-C

  • Physician Assistant
  • Abilene, TX
National Provider Identifier
1679040331
Registry record updated Mar 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA12325 Issued in TX
Practice address
2333 N Treadaway Blvd
Abilene, TX 79601-1955
Phone
(325) 261-8883
Fax
(325) 794-5445
NPI assigned
Oct 30, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA12325 TX Primary

Addresses

Primary practice location

2333 N Treadaway Blvd
Abilene, TX 79601-1955

Mailing address

2333 N Treadaway Blvd
Abilene, TX 79601-1955
Phone (325) 794-5447

Other identifiers 1

IdentifierTypeStateIssuer
392047202MedicaidTX

Other names 1

  • McKenna Jo Martin Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20181210000321 TX Practitioner - Physician Assistant 3577807163 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Privia Medical Group West Texas, PLLCGroup PAC ID 5597747378, 57 clinicians
The West Texas Rehabilitation CenterGroup PAC ID 2860301215, shared by 5 NPIs, 444 clinicians

Practice addresses (Care Compare)

1326 Pine St
Abilene, TX 79601-3533
Phone (325) 261-8883

4601 Hartford St
Abilene, TX 79605-4603
Phone (325) 793-3411

Hospital & facility affiliations

  • Hendrick Medical Center Hospital, Abilene, TX, CCN 450229

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Privia Medical Group West Texas, PLLC CurrentSince Dec 1, 2025 Accepting new patients
Privia Medical Group West Texas, PLLC CurrentSince Dec 1, 2025 Accepting new patients
Privia Medical Group West Texas, PLLC Past Accepting new patients

Locations

1326 Pine St
Abilene, TX 79601
Phone (325) 261-8883

1665 Antilley Rd
Ste 170
Abilene, TX 79606
Phone (325) 437-8655

Interoperability endpoints

  • Direct secure messaging: mckenna.merten.2@3893.direct.athenahealth.com
  • Direct secure messaging: mmerten214952@directhoustonmethodist.org

Organizations & group practices 4

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": "1540857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772496000000",
    "number": "1679040331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2333 N TREADAWAY BLVD",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "796011955",
            "telephone_number": "325-794-5447",
            "fax_number": "325-794-5445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2333 N TREADAWAY BLVD",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "796011955",
            "telephone_number": "325-261-8883",
            "fax_number": "325-794-5445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERTEN",
        "first_name": "MCKENNA",
        "middle_name": "JO",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-30",
        "last_updated": "2026-03-03",
        "certification_date": "2026-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA12325",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "392047202",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MCKENNA",
            "last_name": "MARTIN",
            "middle_name": "JO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Abilene, TX

Sources for this page

Verify at the official NPI Registry.