MS. MICHELLE ELAINE MCKENNA – Clinical Social Worker, NPI 1063983294

MS. MICHELLE ELAINE MCKENNA is a healthcare provider. based in Milwaukee, Wisconsin. specializing in CLINICAL SOCIAL WORKER. They hold a License No. 15959-132 (WI). The NPI Number for MS. MICHELLE ELAINE MCKENNA is 1063983294

Main info

Female
19 Years Of Experience
Accepts Medicare Assignment
Name
MS. MICHELLE ELAINE MCKENNA
NPI
1063983294
Phone
(414) 727-6320
Address
210 W CAPITOL DR
Enumeration Date
16 December 2018
Last Update Date
16 December 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4147276320
Graduation Year
2007 (19 years ago)
PAC ID
0042550170
Group Practice PAC ID
1355247735
Professional Enrollment ID
I20190327001160
Address ID
WI532121185MI220XXDRXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience37
Completeness75
Years active:7State licenses:2Digital endpointsOther names

1,446 CLINICAL SOCIAL WORKER in WI

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Provider Addresses for MS. MICHELLE ELAINE MCKENNA

  • Outreach Community Health Centers, 210, West Capitol Drive, Williamsburg Heights, Milwaukee, Milwaukee County, Wisconsin, 53212, United States

    MILWAUKEE, WI 532121123

    Phone: (414) 727-6320

    Fax: (414) 727-6328

    Mailing address matches the actual address.

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: 2019-03-27

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
I20190327001160IClinical Social WorkerWITBD

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 53212)

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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: 1355247735View full group profile
NameSpecialtyState
Family PracticeWI
Family PracticeWI
Family PracticeWI
-WI
Family PracticeWI
Internal MedicineWI
Nurse PractitionerWI
Family PracticeWI
Otolaryngology, Pediatric Medicine, Family Practice, DermatologyWI
P S Y C H I A T R YMA

Reviews

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Frequently asked questions

Is there an official ID for MS. MICHELLE ELAINE MCKENNA in U.S. healthcare records?
The official identifier for MS. MICHELLE ELAINE MCKENNA is NPI 1063983294.
Active or inactive — what applies to MS. MICHELLE ELAINE MCKENNA?
You should see MS. MICHELLE ELAINE MCKENNA as active in CMS-hosted NPPES data.
How would a patient describe MS. MICHELLE ELAINE MCKENNA's focus?
For MS. MICHELLE ELAINE MCKENNA, the primary taxonomy reads as Clinical Social Worker. Clinical services aligned with this taxonomy classification.
Where in Wisconsin is MS. MICHELLE ELAINE MCKENNA registered?
Use Milwaukee, Wisconsin as the headline location for MS. MICHELLE ELAINE MCKENNA here.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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