BRENDAN MCKINNEY – Certified Registered Nurse Anesthetist, NPI 1043591290

BRENDAN MCKINNEY is a healthcare provider. based in Jackson, Tennessee. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold a License No. 975012 (NY). The NPI Number for BRENDAN MCKINNEY is 1043591290

Main info

Male
15 Years Of Experience
Accepts Medicare Assignment
Name
BRENDAN MCKINNEY
NPI
1043591290
Phone
(731) 541-7070
Address
620 SKYLINE DR
Enumeration Date
1 September 2011
Last Update Date
27 March 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2079737000
Graduation Year
2011 (15 years ago)
PAC ID
4880865005
Group Practice PAC ID
2062315161
Professional Enrollment ID
I20220224001569
Address ID
ME044016616BA489XXSTXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience61
Completeness85
Years active:14State licenses:2Digital endpointsOther names

2,752 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in TN

Provider Addresses for BRENDAN MCKINNEY

  • 620 SKYLINE DR

    JACKSON, TN 383013923

    Phone: (731) 541-7070

    Fax: (731) 541-7075

    Type: Mailing

  • 877 Jefferson Ave

    Memphis, TN 381032807

    Phone: (901) 448-5893

    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: 2025-03-10

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 4 Medicare enrollment records; no due dates published yet.

Enrollment records

4

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
I20110920000705ICertified Registered Nurse Anesthetist (Crna)TNTBD
I20140529001475ICertified Registered Nurse Anesthetist (Crna)MSTBD
I20220224001569ICertified Registered Nurse Anesthetist (Crna)METBD
I20250310002440ICertified Registered Nurse Anesthetist (Crna)NYTBD

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
00731Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope2929$0
00811Anesthesia for other procedure on large bowel using an endoscope2323$0
01922Anesthesia for x-ray or radiation therapy1818$0
01638Anesthesia for open or endoscopic total shoulder joint replacement1515$0
View full utilization report →

Insurance plans in this area (ZIP 38301)

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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

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Frequently asked questions

How do I look up BRENDAN MCKINNEY by NPI?
Use NPI 1043591290 when you need to reference BRENDAN MCKINNEY in forms, claims, or directories.
Is BRENDAN MCKINNEY's enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What field does BRENDAN MCKINNEY work in?
You can think of BRENDAN MCKINNEY as practicing within Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.
What location shows for BRENDAN MCKINNEY?
We surface Jackson, Tennessee for BRENDAN MCKINNEY based on available NPPES addresses.
Is BRENDAN MCKINNEY a real provider?
This page reflects official NPPES data for NPI 1043591290. Always confirm identity and privileges with the practice and licensing boards.

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