REBECCA M MCKANNA (NP) – Nurse Practitioner, NPI 1336132307

REBECCA M MCKANNA (NP) is a healthcare provider. based in Norwalk, Connecticut. specializing in NURSE PRACTITIONER. They hold the professional credentials NP. They hold a License No. 254985 (MA). The NPI Number for REBECCA M MCKANNA (NP) is 1336132307

Main info

Female
Sole Proprietor
22 Years Of Experience
Accepts Medicare Assignment
Name
REBECCA M MCKANNA (NP)
NPI
1336132307
Phone
(203) 354-6100
Address
148 EAST AVE
Enumeration Date
25 August 2005
Last Update Date
4 October 2010

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2062236600
Graduation Year
2004 (22 years ago)
PAC ID
7416913363
Group Practice PAC ID
9830002617
Professional Enrollment ID
I20101029001242
Address ID
WA981012756SE1100XAVEX300
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

6,268 NURSE PRACTITIONER in WA

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Provider Addresses for REBECCA M MCKANNA (NP)

  • 148, East Avenue, East Norwalk, Norwalk, Fairfield County, Connecticut, 06851, United States

    SUITE3H

    NORWALK, CT 068515721

    Phone: (203) 354-6100

    Fax: (203) 354-6182

    Type: Mailing

  • 1600, 116th Avenue Northeast, Northup, Bellevue, King County, Washington, 98004, United States

    SUITE 102

    BELLEVUE, WA 980043014

    Phone: (425) 454-5311

    Fax: (425) 454-8188

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 32 Open Payments records for all available years, with a total value of $677.

Total Amount is formed as General ($677) + Research ($0) + Ownership ($0) = $677.

Last reported payment date: 2023-07-29 • Largest payer in this snapshot: ABBVIE INC. ($120).

Total Amount

$677

General + Research + Ownership

Payments

32

Total payment records

General Amount

$677

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-07-29

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2010-10-29

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

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
I20101029001242INurse PractitionerWATBD

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
99213Established patient office or other outpatient visit, 20-29 minutes11394$0
36415Insertion of needle into vein for collection of blood sample7666$0
99214Established patient office or other outpatient visit, 30-39 minutes6352$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit4444$0
View full utilization report →

Insurance plans in this area (ZIP 06851)

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Provider's Procedures

REBECCA M MCKANNA (NP) performs procedures in NURSE PRACTITIONER. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
NURSE PRACTITIONERWA81002Urinalysis, manual test2013
NURSE PRACTITIONERWA90670Pneumococcal vaccine for injection into muscle1919

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: 9830002617View full group profile
NameSpecialtyState
Internal Medicine, Critical Care (Intensivists)WA
Gastroenterology, Internal MedicineWA
-WA
-WA
D E R M A T O L O G YWA
-WA
Internal MedicineWA
-WA
Internal Medicine, Hematology/OncologyWA
-WA

Reviews

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Frequently asked questions

What is the registry number for REBECCA M MCKANNA (NP)?
The registry entry for REBECCA M MCKANNA (NP) shows NPI 1336132307.
Is REBECCA M MCKANNA (NP)'s NPI status active today?
Active status means REBECCA M MCKANNA (NP)'s NPI record is not deactivated in the public file.
What does the directory say REBECCA M MCKANNA (NP) does?
Insurance directories may phrase it differently, but here REBECCA M MCKANNA (NP) maps to Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What city is tied to REBECCA M MCKANNA (NP)?
The directory associates REBECCA M MCKANNA (NP) with Norwalk, Connecticut. Check all listed addresses for suites or satellite offices.
Can I export REBECCA M MCKANNA (NP)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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