DR. KELLY ANN MCKENNA MD
NPI 1073190120
Otolaryngology in Wethersfield, CT
About Dr. Kelly Ann Mckenna Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. KELLY ANN MCKENNA MD (NPI 1073190120) is an individual otolaryngology provider in Wethersfield, Connecticut, licensed in Connecticut (85782) and active in the NPI registry since March 2021. She is enrolled in Medicare PECOS and is a graduate of University Of Connecticut School Of Medicine (2021).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Kelly Ann Mckenna Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Kelly Mckenna reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Wethersfield, CT 06109
- Reassigned Medicare billing, Connecticut enrollment
- 21 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 06109 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 12
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
WETHERSFIELD, CT 06109
WETHERSFIELD, CT 06109
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 Kelly Mckenna's NPI number?
The NPI number for Kelly Mckenna is 1073190120. It was assigned to this individual provider in the NPPES registry on March 25, 2021.
Where is Kelly Mckenna located?
Kelly Mckenna practices at 988 Silas Deane Hwy, Wethersfield, CT 06109. The listed phone number is (860) 493-1950.
What is Kelly Mckenna's specialty?
The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.
Is Kelly Mckenna enrolled in Medicare?
Yes. Kelly Mckenna is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Kelly Mckenna's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kelly Mckenna reassigns Medicare benefits to Connecticut Ear, Nose & Throat Associates, P.C. (Wethersfield, CT). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kelly Mckenna's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kelly Mckenna accept?
Health plans from Anthem Blue Cross and Blue Shield list Kelly Mckenna as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Kelly Mckenna was last updated on June 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.
# Dr. Kelly Ann Mckenna, MD · NPI 1073190120
Otolaryngology physician in Wethersfield, Connecticut. Individual provider, active in the CMS NPPES registry since March 25, 2021.
## Identity
- **NPI:** 1073190120 (Entity type: Individual)
- **Enumerated:** March 25, 2021
- **Primary specialty:** Otolaryngology · taxonomy 207Y00000X
- **State license:** 85782 (Connecticut)
- **Sole proprietor:** No
## Practice location
- **Address:** 988 SILAS DEANE HWY, Wethersfield, CT 06109-4227
- **Phone:** (860) 493-1950
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Connecticut Ear, Nose & Throat Associates, P.C. (NPI 1528168705, Wethersfield, CT), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Connecticut School Of Medicine, class of 2021
## Record status
- **NPPES last updated:** June 16, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1073190120) · Data from the CMS NPPES public registry.