MRS. ELLEN MCKINNON (NP) – Family Nurse Practitioner, NPI 1396178695

MRS. ELLEN MCKINNON (NP) is a healthcare provider. based in Shrewsbury, Massachusetts. specializing in NURSE PRACTITIONER. They hold the professional credentials NP. They hold a License No. RN2277346 (MA). The NPI Number for MRS. ELLEN MCKINNON (NP) is 1396178695

Main info

Female
13 Years Of Experience
Accepts Medicare Assignment
Name
MRS. ELLEN MCKINNON (NP)
NPI
1396178695
Phone
(860) 301-9549
Address
16 GLENDALE AVE
Enumeration Date
10 August 2013
Last Update Date
10 January 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8605457500
Graduation Year
2013 (13 years ago)
PAC ID
6709001472
Group Practice PAC ID
2567366016
Professional Enrollment ID
I20250113001252
Address ID
CT061020000HA80XXXSTXX300
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness75
Years active:12State licenses:1Digital endpointsOther names

8,971 NURSE PRACTITIONER in MA

Provider Addresses for MRS. ELLEN MCKINNON (NP)

  • 16 GLENDALE AVE

    SHREWSBURY, MA 015451260

    Phone: (860) 301-9549

    Type: Mailing

  • 234 WASHINGTON ST

    HUDSON, MA 017493735

    Phone: (978) 562-2663

    Type: Location

  • 24 STONEGATE DR

    WETHERSFIELD, CT 061093652

    Phone: (860) 301-9549

    Type: Mailing

  • 80 SEYMOUR ST

    HARTFORD, CT 061028000

    Phone: (860) 972-3621

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $73.

Total Amount is formed as General ($73) + Research ($0) + Ownership ($0) = $73.

Last reported payment date: 2023-06-21 • Largest payer in this snapshot: GENZYME CORPORATION ($73).

Total Amount

$73

General + Research + Ownership

Payments

1

Total payment records

General Amount

$73

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-06-21

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
GENZYME CORPORATION$73
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: 2025-01-13

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
I20140714001610INurse PractitionerMATBD
I20250113001252INurse PractitionerCTTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 01545)

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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: 2567366016View full group profile

Reviews

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Frequently asked questions

Does MRS. ELLEN MCKINNON (NP) have a public NPI I can cite?
Public records show MRS. ELLEN MCKINNON (NP) under NPI 1396178695.
Is MRS. ELLEN MCKINNON (NP) currently accepting referrals based on NPI status?
Registry metadata lists MRS. ELLEN MCKINNON (NP) as active.
What services align with MRS. ELLEN MCKINNON (NP)'s listing?
MRS. ELLEN MCKINNON (NP)'s public classification highlights Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Is MRS. ELLEN MCKINNON (NP) tied to Shrewsbury, Massachusetts?
If you are local to Shrewsbury, Massachusetts, MRS. ELLEN MCKINNON (NP) may be relevant to your search.
Why is information missing for MRS. ELLEN MCKINNON (NP)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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