COLIN MCKENNA (MS ANESTHESIOLOGY) – Anesthesiologist Assistant, NPI 1558884536
Anesthesiologist Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
30 ANESTHESIOLOGY ASSISTANT in OK
Provider Addresses for COLIN MCKENNA (MS ANESTHESIOLOGY)
6839 S Canton Ave
Tulsa, OK 741363402
Phone: (918) 312-4685
Type: Location
339 CONSORT DR
BALLWIN, MO 630114439
Phone: (636) 386-9224
Fax: (636) 386-7679
Type: Mailing
6839, South Canton Avenue, Minshall Park, Tulsa, Tulsa County, Oklahoma, 74136, United States
TULSA, OK 741363402
Phone: (918) 312-4685
Type: Location
PO BOX 840853
DALLAS, TX 752844439
Phone: (972) 233-1999
Fax: (972) 233-3666
Type: Mailing
12222 MERIT DR STE 600
DALLAS, TX 752513294
Phone: (972) 715-5000
Fax: (972) 715-9976
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: 2019-09-09
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 |
|---|---|---|---|---|
| I20190909001907 | I | Anesthesiology Assistant | OK | 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 |
|---|---|---|---|---|
| 00731 | Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope | 29 | 29 | $0 |
| 00790 | Anesthesia for other procedure on upper abdomen | 15 | 15 | $0 |
| 00813 | Anesthesia for procedure on small and large bowel using an endoscope | 11 | 11 | $0 |
Insurance plans in this area (ZIP 74136)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Anesthesiology Assistant | OK | |
| - | OK | |
| Certified Registered Nurse Anesthetist (Crna) | OK | |
| Certified Registered Nurse Anesthetist (Crna) | OK | |
| Certified Registered Nurse Anesthetist (Crna) | OK | |
| A N E S T H E S I O L O G Y | TX | |
| Certified Registered Nurse Anesthetist (Crna) | OK | |
| A N E S T H E S I O L O G Y | MA | |
| Anesthesiology, Critical Care (Intensivists) | OK | |
| Certified Registered Nurse Anesthetist (Crna) | TX |
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