MRS. JENIFER L MCKENNEY (FNP) – Obstetrics & Gynecology Nurse Practitioner, NPI 1992069058

MRS. JENIFER L MCKENNEY (FNP) is a healthcare provider. based in Brewer, Maine. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP. They hold a License No. CNP121061 (ME). The NPI Number for MRS. JENIFER L MCKENNEY (FNP) is 1992069058

Main info

Female
14 Years Of Experience
Accepts Medicare Assignment
Name
MRS. JENIFER L MCKENNEY (FNP)
NPI
1992069058
Phone
(207) 973-4670
Address
43 WHITING HILL RD STE 300
Enumeration Date
3 July 2012
Last Update Date
15 May 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2079737000
Graduation Year
2012 (14 years ago)
PAC ID
8123277688
Group Practice PAC ID
2062315161
Professional Enrollment ID
I20120927000578
Address ID
ME044016616BA489XXSTXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience55
Completeness75
Years active:13State licenses:1Digital endpointsOther names

1,871 NURSE PRACTITIONER in ME

Provider Addresses for MRS. JENIFER L MCKENNEY (FNP)

  • 43 WHITING HILL RD STE 300

    BREWER, ME 044121006

    Phone: (207) 973-4670

    Fax: (207) 973-4669

    Type: Mailing

  • 417 STATE STREET

    WEBBER WEST SUITE 141

    BANGOR, ME 04401

    Phone: (207) 973-4670

    Fax: (207) 973-4669

    Type: Location

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: 2012-09-27

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
I20120927000578INurse PractitionerMETBD

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
G0101Cervical or vaginal cancer screening; pelvic and clinical breast examination1717$0
View full utilization report →

Insurance plans in this area (ZIP 04412)

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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: 2062315161View full group profile
NameSpecialtyState
Physician AssistantME
Nurse PractitionerME
Certified Registered Nurse Anesthetist (Crna)ME
Cardiovascular Disease (Cardiology)ME
Endocrinology, Internal MedicineME
-ME
Nurse PractitionerME
Thoracic SurgeryME
H O S P I T A L I S TME
-NJ

Reviews

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Frequently asked questions

What number should I use to identify MRS. JENIFER L MCKENNEY (FNP) for billing?
Administrative and clinical systems typically use NPI 1992069058 for MRS. JENIFER L MCKENNEY (FNP).
Is MRS. JENIFER L MCKENNEY (FNP) currently accepting referrals based on NPI status?
Registry metadata lists MRS. JENIFER L MCKENNEY (FNP) as active.
What services align with MRS. JENIFER L MCKENNEY (FNP)'s listing?
MRS. JENIFER L MCKENNEY (FNP)'s public classification highlights Obstetrics & Gynecology Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What city is tied to MRS. JENIFER L MCKENNEY (FNP)?
The directory associates MRS. JENIFER L MCKENNEY (FNP) with Brewer, Maine. Check all listed addresses for suites or satellite offices.
Can I export MRS. JENIFER L MCKENNEY (FNP)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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