NPIMap

Individual provider Active NPI

Elizabeth A. McKenna, M.D.

  • Family Medicine Physician
  • Plumsteadville, PA
National Provider Identifier
1861480584
Registry record updated Mar 9, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD 067086L Issued in PA
Practice address
5612 Easton Rd
Plumsteadville, PA 18949
Phone
(215) 766-8844
NPI assigned
Oct 6, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD 067086L PA Primary

Addresses

Primary practice location

5612 Easton Rd
Plumsteadville, PA 18949

Mailing address

5612 Easton Rd
P O Box 866
Plumsteadville, PA 18949
Phone (215) 766-8844

Other identifiers 2

IdentifierTypeStateIssuer
066963OtherPABLUE SHIELD
01741169MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100525000092 PA Practitioner - Family Practice 4082743331 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Pennsylvania State University College of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Phoenix Rehabilitation and Health Services IncGroup PAC ID 3476464298, shared by 2 NPIs, 2,775 clinicians
Plumsteadville Family PracticeGroup PAC ID 9335138155, 10 clinicians

Practice addresses (Care Compare)

2000 Westinghouse Dr
Suite 200
Cranberry Township, PA 16066-5238

5612 Easton Rd
Box 866
Plumsteadville, PA 18949-0866
Phone (215) 766-8844

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD 067086LPAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Plumsteadville Family Practice Family Medicine CurrentSince Oct 13, 1998 Accepting new patients
Ocular Telehealth PC Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: elizabeth.mckenna@dhcp.eclinicaldirectplus.com

Organizations & group practices 2

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 10

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": "1128556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1268092800000",
    "number": "1861480584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5612 EASTON RD",
            "address_2": "P O BOX 866",
            "city": "PLUMSTEADVILLE",
            "state": "PA",
            "postal_code": "18949",
            "telephone_number": "215-766-8844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5612 EASTON RD",
            "city": "PLUMSTEADVILLE",
            "state": "PA",
            "postal_code": "18949",
            "telephone_number": "215-766-8844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKENNA",
        "first_name": "ELIZABETH",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-06",
        "last_updated": "2010-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD 067086L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "066963",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01741169",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Plumsteadville, PA

Sources for this page

Verify at the official NPI Registry.