Individual provider Active NPI

McKenzie Means, CRNP

  • Nurse Practitioner
  • Jeannette, PA
National Provider Identifier
1740041854
Registry record updated Jan 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
SP028472 Issued in PA
Practice address
2057 Route 130
Jeannette, PA 15644-3801
Phone
(724) 527-2700
NPI assigned
Jan 17, 2024
Last updated
Jan 31, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X SP028472 PA Primary

Addresses

Primary practice location

2057 Route 130
Jeannette, PA 15644-3801

Mailing address

2057 Route 130
Jeannette, PA 15644-3801
Phone (724) 527-2700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, ME, NM, WV, NJ5 enrollments
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 5

Enrollment IDStateProvider typePAC IDDetails
I20240221001068 PA Practitioner - Nurse Practitioner 4789028424 Reassigns benefits to 4 organizations
I20250923004010 ME Practitioner - Nurse Practitioner 4789028424 Reassigns benefits to 3 organizations
I20250929003126 NM Practitioner - Nurse Practitioner 4789028424 Reassigns benefits to 1 organization
I20251015003969 WV Practitioner - Nurse Practitioner 4789028424 Reassigns benefits to 3 organizations
I20260210001457 NJ Practitioner - Nurse Practitioner 4789028424 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Daniel Funsch Jr MD PCGroup PAC ID 1951801836, 139 clinicians
Ivy Medical Group PLLCGroup PAC ID 4981097797, 120 clinicians
Lumina Care Medical NJ LLCGroup PAC ID 6608305156, 60 clinicians
Dr Rebman Medical PAGroup PAC ID 3678087400, 88 clinicians

Practice addresses (Care Compare)

100 Abbeyville Rd
Lancaster, PA 17603-4604
Phone (212) 734-6621

1390 N Poplar Fork Rd
Hurricane, WV 25526-7112
Phone (212) 734-6621

25 E Lindsley Rd
Cedar Grove, NJ 07009-1023
Phone (212) 734-6621

300 Spring St
Westbrook, ME 04092-3915
Phone (212) 734-6621

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
SP028472PAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Dr Rebman BH LLC CurrentSince Dec 25, 2025 Accepting new patients
Daniel Funsch Jr, M.D., P.C. CurrentSince Aug 19, 2025 Accepting new patients
Dr Rebman Medical PA CurrentSince Dec 14, 2025 Accepting new patients
Lumina Care Medical NJ LLC CurrentSince Dec 29, 2025 Accepting new patients
PT Family Medicine PC CurrentSince Feb 12, 2024 Accepting new patients
Westbrook Operations, LLC Past Accepting new patients
Wellnite Medical Group PA PastSince Dec 1, 2022 Accepting new patients

Locations

300 Spring St
Westbrook, ME 04092
Phone (207) 856-1230

25 E Lindsley Rd
Cedar Grove, NJ 07009
Phone (201) 647-8035

103 Hospital Loop NE
Albuquerque, NM 87109
Phone (505) 348-8300

885 3rd Ave
Fl 28
New York, NY 10022
Phone (929) 650-3990

2057 State Route 130
Jeannette, PA 15644
Phone (724) 527-0991

100 Abbeyville Rd
Lancaster, PA 17603
Phone (717) 397-4261

1390 N Poplar Fork Rd
Hurricane, WV 25526
Phone (304) 757-7826

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/20720/brand/1/csg/1/fhir/r4

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

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": "1705449600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706659200000",
    "number": "1740041854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2057 ROUTE 130",
            "city": "JEANNETTE",
            "state": "PA",
            "postal_code": "156443801",
            "telephone_number": "724-527-2700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2057 ROUTE 130",
            "city": "JEANNETTE",
            "state": "PA",
            "postal_code": "156443801",
            "telephone_number": "724-527-2700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEANS",
        "first_name": "MCKENZIE",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-17",
        "last_updated": "2024-01-31",
        "certification_date": "2024-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "PA",
            "license": "SP028472",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jeannette, PA

Sources for this page

Verify at the official NPI Registry.