CHARLES JAMES MCKENNA – Acute Care Nurse Practitioner, NPI 1679110332

CHARLES JAMES MCKENNA is a healthcare provider. based in Keller, Texas. specializing in Acute Care Nurse Practitioner. They hold a License No. AP141458 (TX). The NPI Number for CHARLES JAMES MCKENNA is 1679110332

Main info

Male
8 Years Of Experience
Accepts Medicare Assignment
Name
CHARLES JAMES MCKENNA
NPI
1679110332
Phone
(361) 815-3393
Address
8904 QUARRY RIDGE TRAIL
Enumeration Date
2 December 2019
Last Update Date
2 December 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2147781075
Graduation Year
2018 (8 years ago)
PAC ID
8426470097
Group Practice PAC ID
6204733165
Professional Enrollment ID
I20200629000640
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience26
Completeness75
Years active:6State licenses:1Digital endpointsOther names

Provider Addresses for CHARLES JAMES MCKENNA

  • 8904 QUARRY RIDGE TRAIL

    KELLER, TX 76244

    Phone: (361) 815-3393

    Type: Mailing

  • 6124 W PARKER RD STE 530

    PLANO, TX 750938140

    Phone: (214) 778-1075

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 7 Open Payments records for all available years, with a total value of $145.

Total Amount is formed as General ($145) + Research ($0) + Ownership ($0) = $145.

Last reported payment date: 2024-11-07 • Largest payer in this snapshot: Otsuka America Pharmaceutical, Inc. ($65).

Total Amount

$145

General + Research + Ownership

Payments

7

Total payment records

General Amount

$145

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-07

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2020-06-29

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
I20200629000640INurse PractitionerTXTBD

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
96413Administration of chemotherapy into vein, 1 hour or less2019$0
View full utilization report →

Insurance plans in this area (ZIP 76244)

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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: 6204733165View full group profile

Reviews

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Frequently asked questions

Where can patients find CHARLES JAMES MCKENNA's NPI?
You can confirm CHARLES JAMES MCKENNA with NPI 1679110332; it appears in the national provider directory.
Is CHARLES JAMES MCKENNA currently active in the NPI registry?
CMS-published data lists CHARLES JAMES MCKENNA as an active registrant.
What field does CHARLES JAMES MCKENNA work in?
You can think of CHARLES JAMES MCKENNA as practicing within Acute Care Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where is CHARLES JAMES MCKENNA's primary listing?
We display Keller, Texas because that is what the record indicates for CHARLES JAMES MCKENNA.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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