Individual provider Active NPI

Megan Irene McKenna, D.O.

  • Surgery Physician
  • Grand Blanc, MI
National Provider Identifier
1851748180
Registry record updated May 17, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
5101022395 Issued in MI
Practice address
1 Genesys Pkwy
Grand Blanc, MI 48439-8065
Phone
(810) 606-5000
NPI assigned
May 17, 2016
Last updated
May 17, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 17, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 5101022395 MI Primary

Addresses

Primary practice location

1 Genesys Pkwy
Grand Blanc, MI 48439-8065

Mailing address

3104 Logan Ave
Loveland, CO 80538-2638
Phone (303) 513-9121

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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 1

Enrollment IDStateProvider typePAC IDDetails
I20210728002027 CO Practitioner - General Surgery 0749578037 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Rocky Vista University College of Osteopathic Med, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Wray Community District HospitalGroup PAC ID 3274425038, shared by 4 NPIs, 31 clinicians

Practice addresses (Care Compare)

1017 W 7TH St
Wray, CO 80758-1420
Phone (970) 332-4811

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
68.01 of 100Reported as group
Quality
76.44
Promoting interoperability
100
Improvement activities
40
Cost
10

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy25
Hernia repair - groin (open)1-10
Hernia repair (minimally invasive)1-10
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Melanoma (skin cancer) excision1-10
Removal of tissue1-10
Skin biopsy1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Wray Community District Hospital CurrentSince Sep 1, 2021 Accepting new patients
Wray Community District Hospital CurrentSince Sep 1, 2021 Accepting new patients
Wray Community District Hospital Past Accepting new patients

Locations

1017 W 7th St
Wray, CO 80758
Phone (970) 332-4811

700 Main St
Wray, CO 80758
Phone (970) 332-3450

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/ntTIZxOIDS2tB2PUqr33FYQo0UWd2W9R/
  • Direct secure messaging: megan.mckenna.1@14566.direct.athenahealth.com
  • Direct secure messaging: mmckenna433868@direct.hfhs.org

Organizations & group practices 3

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 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": "1463443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1463443200000",
    "number": "1851748180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3104 LOGAN AVE",
            "city": "LOVELAND",
            "state": "CO",
            "postal_code": "805382638",
            "telephone_number": "303-513-9121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 GENESYS PKWY",
            "city": "GRAND BLANC",
            "state": "MI",
            "postal_code": "484398065",
            "telephone_number": "810-606-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKENNA",
        "first_name": "MEGAN",
        "middle_name": "IRENE",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-17",
        "last_updated": "2016-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MI",
            "license": "5101022395",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Blanc, MI

Sources for this page

Verify at the official NPI Registry.