Madeline Lucille McKenna, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

RN2333579 Issued in MA

Practice address

565 Turnpike St Ste 85
North Andover, MA 01845-5936

Phone

(978) 689-2247

NPI assigned

Apr 2, 2020

Last updated

Dec 10, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Other names 1

• Madeline Sudekum Former name

Medicare fee-for-service enrollment

Enrolled in MA

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

Specialty

Nurse Practitioner

Education

Yale University School of Medicine, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Incare Middleton, PLLCGroup PAC ID 5698162725, 5 clinicians

Incare LLCGroup PAC ID 1153658851, 62 clinicians

Incare Lawrence, PLLCGroup PAC ID 0648678953, 20 clinicians

Incare Tufts PLLCGroup PAC ID 3072013192, 49 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Anna Jaques Hospital Hospital, Newburyport, MA, CCN 220029
• Merrimack Health Lawrence Hospital Hospital, Lawrence, MA, CCN 220010
• Holy Family Hospital Hospital, Methuen, MA, CCN 220080
• Parkland Medical Center Hospital, Derry, NH, CCN 300017

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/18780/brand/1/csg/1/fhir/r4
• FHIR API: https://fhir4.healow.com/fhir/r4/CFFBDD
• Direct secure messaging: madeline.sudekum.1@11044.direct.athenahealth.com
• Direct secure messaging: msudekum408169@direct.dartmouth-hitchcock.org

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.

• Incare Lawrence PLLC

  • Pulmonary Disease Physician
  • North Andover, MA
  • NPI 1730765496
  Medicare reassignment Care Compare group NPD
• Incare LLC

  • Internal Medicine Physician
  • North Andover, MA
  • NPI 1639655467
  Medicare reassignment Care Compare group NPD
• Incare Middleton, PLLC

  • Critical Care Medicine (Internal Medicine) Physician
  • Newburyport, MA
  • NPI 1528727526
  Medicare reassignment Care Compare group NPD
• Incare Tufts PLLC

  • Internal Medicine Physician
  • North Andover, MA
  • NPI 1164305611
  Medicare reassignment Care Compare group NPD

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

• Anna Jaques Hospital

  • General Acute Care Hospital
  • Newburyport, MA
  • NPI 1992779482
  Care Compare affiliation
• Lawrence General Hospital

  dba Merrimack Health Lawrence Hospital

  • General Acute Care Hospital
  • Lawrence, MA
  • NPI 1750381281
  Care Compare affiliation
• LG Newcorp Inc

  dba Merrimack Health Methuen Hospital

  • General Acute Care Hospital
  • Methuen, MA
  • NPI 1265267991
  Care Compare affiliation
• HCA Health Services of New Hampshire Inc

  dba Parkland Medical Center

  • General Acute Care Hospital
  • Derry, NH
  • NPI 1174570683
  Care Compare affiliation

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

{
    "created_epoch": "1585785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733788800000",
    "number": "1841829926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "565 TURNPIKE ST STE 85",
            "city": "NORTH ANDOVER",
            "state": "MA",
            "postal_code": "018455936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "565 TURNPIKE ST STE 85",
            "city": "NORTH ANDOVER",
            "state": "MA",
            "postal_code": "018455936",
            "telephone_number": "978-689-2247"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "590 Court St",
            "address_purpose": "LOCATION",
            "city": "Keene",
            "state": "NH",
            "postal_code": "034311719",
            "country_code": "US",
            "telephone_number": "603-354-5400",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "71 Washington St",
            "address_purpose": "LOCATION",
            "city": "Brighton",
            "state": "MA",
            "postal_code": "021354301",
            "country_code": "US",
            "telephone_number": "888-502-4571",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCKENNA",
        "first_name": "MADELINE",
        "middle_name": "LUCILLE",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-04-02",
        "last_updated": "2024-12-10",
        "certification_date": "2024-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NH",
            "license": "083576-23",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MA",
            "license": "RN2333579",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CT",
            "license": "153652",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MA",
            "license": "RN2333579",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MADELINE",
            "last_name": "SUDEKUM",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Stephen Carl McGrath, D.V.M.
• Ann R McGravey, M.D.
• Molly McHale, BCBA
• Erin Christine McKenna, PA
• Kristie McKenna
• Lauren Elizabeth McKenney
• Robin McKinley, NP
• Sean R McKinnon, M.ED
• Rachel McLaren
• Kaela McLaughlin, PT, DPT

• Family Nurse Practitioner in North Andover, MA
• Providers in North Andover, MA by specialty
• Family Nurse Practitioner in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.