STINA ROSANNA MCKENNA (PA-C) – Physician Assistant, NPI 1598206633

STINA ROSANNA MCKENNA (PA-C) is a healthcare provider. based in Fort myers, Florida. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 9110251 (FL). The NPI Number for STINA ROSANNA MCKENNA (PA-C) is 1598206633

Main info

Female
9 Years Of Experience
Accepts Medicare Assignment
Name
STINA ROSANNA MCKENNA (PA-C)
NPI
1598206633
Phone
(239) 936-5425
Address
8381 RIVERWALK PARK BLVD STE 201
Enumeration Date
8 March 2017
Last Update Date
1 June 2020

Doctor Profile

Medical School Name
TUFTS UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
2399365425221
Graduation Year
2017 (9 years ago)
PAC ID
7416224506
Group Practice PAC ID
1355370495
Professional Enrollment ID
I20180411000458
Address ID
FL339092797CA14XXXBLVD501
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience42
Completeness75
Years active:9State licenses:1Digital endpointsOther names

9,231 PHYSICIAN ASSISTANT in FL

Provider Addresses for STINA ROSANNA MCKENNA (PA-C)

  • 8381 RIVERWALK PARK BLVD STE 201

    FORT MYERS, FL 339198760

    Phone: (239) 936-5425

    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)

CMS reports 80 Open Payments records for all available years, with a total value of $2,231.

Total Amount is formed as General ($2,231) + Research ($0) + Ownership ($0) = $2,231.

Last reported payment date: 2024-12-16 • Largest payer in this snapshot: ABBVIE INC. ($605).

Total Amount

$2,231

General + Research + Ownership

Payments

80

Total payment records

General Amount

$2,231

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-16

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: 2018-04-11

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
I20180411000458IPhysician AssistantFLTBD

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
J3245Injection, tildrakizumab, 1 mg4,10011$0
17003Destruction of precancer skin growth, 2-14 growths3,540548$0
99213Established patient office or other outpatient visit, 20-29 minutes1,186768$0
17000Destruction of precancer skin growth, 1 growth1,090712$0
99214Established patient office or other outpatient visit, 30-39 minutes744515$0
View full utilization report →

Insurance plans in this area (ZIP 33919)

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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: 1355370495View full group profile
NameSpecialtyState
D E R M A T O L O G YFL
D E R M A T O L O G YFL
D E R M A T O L O G YFL
Physician AssistantFL
P A T H O L O G YCA
Nurse PractitionerFL
-FL
-FL
D E R M A T O L O G YFL
Physician AssistantFL

Reviews

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Frequently asked questions

What federal number belongs to STINA ROSANNA MCKENNA (PA-C)?
The federal identifier for STINA ROSANNA MCKENNA (PA-C) is NPI 1598206633.
Is STINA ROSANNA MCKENNA (PA-C)'s NPI currently valid?
The extract we use shows STINA ROSANNA MCKENNA (PA-C) as active.
What field does STINA ROSANNA MCKENNA (PA-C) work in?
You can think of STINA ROSANNA MCKENNA (PA-C) as practicing within Physician Assistant. Clinical services aligned with this taxonomy classification.
Does STINA ROSANNA MCKENNA (PA-C) practice in Florida?
You will see Fort Myers, Florida on file for STINA ROSANNA MCKENNA (PA-C) alongside any extra practice locations.
What if Fort Myers, Florida seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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