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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

SHANE MCKENNA MD
NPI 1013608009
Internal Medicine in Wauwatosa, WI

Active since May 19, 2023PECOS Enrolled
201 N MAYFAIR RD FL 2, WAUWATOSA, WI 53226(414) 771-8228 Get Directions Write a Review

NPPES record last updated: October 23, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Shane Mckenna Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHANE MCKENNA MD (NPI 1013608009) is an individual internal medicine provider in Wauwatosa, Wisconsin, licensed in Wisconsin (88034-20) and active in the NPI registry since May 2023. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1013608009
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameSHANE MCKENNACredential: MD
Location Address201 N MAYFAIR RD FL 2Wauwatosa, WI 53226-4216
Mailing Address201 N Mayfair Rd Fl 2Wauwatosa, WI 53226-4216 · (414) 771-8228
Phone(414) 771-8228
Sole ProprietorNo
Enumeration DateMay 19, 2023
Last NPPES UpdateOctober 23, 2026
NPPES CertifiedOctober 23, 2026
✔ NPI 1013608009 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in WI · 88034-20
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
201 N MAYFAIR RD FL 2, Wauwatosa, WI 53226
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shane Mckenna Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53226 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$123.69 typical visit price
range $53.90 – $163.24
Typical copayment $30.92 (range $13.47 – $40.81)
Most-billed visit code 99204
Established Patient
$95.41 typical visit price
range $17.40 – $133.76
Typical copayment $23.85 (range $4.35 – $33.44)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JESSICA LAUTMANN LENAGHAN MD
Family Medicine
201 N MAYFAIR RD FL 2
WAUWATOSA, WI 53226
Milwaukee County (414) 771-8228
WHEATON FRANCISCAN MEDICAL GROUP
Podiatrist
201 N MAYFAIR RD FL 2
WAUWATOSA, WI 53226
Milwaukee County (414) 771-8228
MRS. PAMELA ANN ANDERSON APNP
Nurse Practitioner (Family)
201 N MAYFAIR RD FL 2
WAUWATOSA, WI 53226
Milwaukee County (414) 259-7505
ZACHARY BETH DPM
Podiatrist
201 N MAYFAIR RD FL 2
WAUWATOSA, WI 53226
Milwaukee County (414) 771-8228
DR. ANTHONY CARL NELSON M.D.
Surgery
201 N MAYFAIR RD FL 2
WAUWATOSA, WI 53226
Milwaukee County (414) 874-4870

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shane Mckenna's NPI number?

The NPI number for Shane Mckenna is 1013608009. It was assigned to this individual provider in the NPPES registry on May 19, 2023.

Where is Shane Mckenna located?

Shane Mckenna practices at 201 N Mayfair Rd Fl 2, Wauwatosa, WI 53226. The listed phone number is (414) 771-8228.

What is Shane Mckenna's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Shane Mckenna enrolled in Medicare?

Yes. Shane Mckenna is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Shane Mckenna was last updated on October 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.