MS. KATHLEEN L. MCKENNA (NP) – Nurse Practitioner, NPI 1366994816
Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
8,106 NURSE PRACTITIONER in MI
Provider Addresses for MS. KATHLEEN L. MCKENNA (NP)
130 TOWN CENTER DR
203
TROY, MI 480841744
Phone: (248) 585-8250
Fax: (248) 585-8270
Type: Mailing
3601 W 13 MILE RD
ROYAL OAK, MI 480736712
Phone: (248) 898-4021
Fax: (248) 898-1473
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 19 Open Payments records for all available years, with a total value of $417.
Total Amount is formed as General ($417) + Research ($0) + Ownership ($0) = $417.
Last reported payment date: 2024-10-30 • Largest payer in this snapshot: Boston Scientific Corporation ($243).
Total Amount
$417
General + Research + Ownership
Payments
19
Total payment records
General Amount
$417
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-30
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Boston Scientific Corporation | $243 |
| Braeburn Inc. | $131 |
| Alkermes, Inc. | $23 |
| Indivior Inc. | $20 |
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: 2016-12-15
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20161215000328 | I | Nurse Practitioner | MI | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 371 | 77 | $0 |
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 16 | 13 | $0 |
Insurance plans in this area (ZIP 48084)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | MI | |
| General Practice, Addiction Medicine, Peripheral Vascular Disease, Podiatry, Vascular Surgery | MI | |
| - | MI |
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