LESLIE BROOK MCKENNA (FNP) – Nurse Practitioner, NPI 1912237769

LESLIE BROOK MCKENNA (FNP) is a healthcare provider. based in Evergreen, Colorado. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP. They hold a License No. 34639 (TN). The NPI Number for LESLIE BROOK MCKENNA (FNP) is 1912237769

Main info

Female
23 Years Of Experience
Accepts Medicare Assignment
Name
LESLIE BROOK MCKENNA (FNP)
NPI
1912237769
Phone
(303) 674-6400
Address
3081 BERGEN PEAK DR
Enumeration Date
29 December 2009
Last Update Date
5 March 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4238750700
Graduation Year
2003 (23 years ago)
PAC ID
4486642626
Group Practice PAC ID
8325117484
Professional Enrollment ID
I20240827000706
Address ID
TN373435038HI4490XPIKE300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience70
Completeness75
Years active:16State licenses:2Digital endpointsOther names

5,201 NURSE PRACTITIONER in CO

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Provider Addresses for LESLIE BROOK MCKENNA (FNP)

  • 3081, Bergen Peak Drive, Evergreen, Jefferson County, Colorado, 80439, United States

    EVERGREEN, CO 804392200

    Phone: (303) 674-6400

    Fax: (303) 579-3454

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-08-27

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20040505000663INurse PractitionerCOTBD
I20240827000706INurse PractitionerTNTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes2323$0
99204New patient office or other outpatient visit, 45-59 minutes2121$0
View full utilization report →

Insurance plans in this area (ZIP 80439)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8325117484View full group profile

Reviews

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Frequently asked questions

Can I cross-check LESLIE BROOK MCKENNA (FNP) using NPI 1912237769?
NPI 1912237769 belongs to LESLIE BROOK MCKENNA (FNP); compare other details if you need extra assurance.
Is there an active status for LESLIE BROOK MCKENNA (FNP)?
For scheduling context, LESLIE BROOK MCKENNA (FNP) is shown as active in the registry.
What clinical focus is listed for LESLIE BROOK MCKENNA (FNP)?
At a glance, LESLIE BROOK MCKENNA (FNP) is tied to Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Is LESLIE BROOK MCKENNA (FNP) associated with Evergreen?
Public fields place LESLIE BROOK MCKENNA (FNP) around Evergreen, Colorado. Always confirm the exact site before visiting.
Can I trust this NPI listing for LESLIE BROOK MCKENNA (FNP)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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