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MYCHAEL ADRIANNA MCKEEVER DMD
NPI 1083413082
Student in an Organized Health Care Education/Training Program in Willimantic, CT

Active since March 11, 2025PECOS Enrolled
40 MANSFIELD AVE, WILLIMANTIC, CT 06226(860) 450-7471(860) 450-9808 Get Directions Write a Review

NPPES record last updated: June 23, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mychael Adrianna Mckeever Dmd NPPES

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

MYCHAEL ADRIANNA MCKEEVER DMD (NPI 1083413082) is an individual student in an organized health care education/training program in Willimantic, Connecticut and active in the NPI registry since March 2025. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1083413082
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameMYCHAEL ADRIANNA MCKEEVERCredential: DMD
Location Address40 MANSFIELD AVEWillimantic, CT 06226-2018
Mailing Address40 Mansfield AveWillimantic, CT 06226-2018 · (860) 450-7471 · Fax (860) 450-9808
Phone(860) 450-7471
Fax(860) 450-9808
Sole ProprietorNo
Enumeration DateMarch 11, 2025
Last NPPES UpdateJune 23, 2026
NPPES CertifiedJune 23, 2026
✔ NPI 1083413082 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Also ListedDentist · General PracticeTaxonomy 1223G0001X · License 14703 (CT)
40 MANSFIELD AVE, Willimantic, CT 06226
Open in Google Maps ↗

Secondary Practice Locations 2

Location 11215 Lee St Box 800740Charlottesville, VA 22908-0816 · Phone (434) 924-5115 · Fax (434) 924-5936
Location 2202 Pomfret StPutnam, CT 06260-1833 · Phone (860) 963-7917

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mychael Adrianna Mckeever Dmd 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.

Other Providers at the Same Location NPPES 20

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

KATHY A. MONTAGUE D. M. D.
Dentist (General Practice)
40 MANSFIELD AVE
WILLIMANTIC, CT 06226
Southeastern Connecticut Planning Region (860) 450-7471
DR. KIPP W. SPENCER MD
Internal Medicine
40 MANSFIELD AVE
WILLIMANTIC, CT 06226
Southeastern Connecticut Planning Region (860) 450-7471
FABIENNE LAGUERRE MSN, APRN, FNP-C
Nurse Practitioner (Family)
40 MANSFIELD AVE
WILLIMANTIC, CT 06226
Southeastern Connecticut Planning Region (860) 450-7471
VIRGINIA LYON LCSW
Social Worker (Clinical)
40 MANSFIELD AVE
WILLIMANTIC, CT 06226
Southeastern Connecticut Planning Region (860) 450-0585
KARI A. DAVIS APRN
Nurse Practitioner
40 MANSFIELD AVE
WILLIMANTIC, CT 06226
Southeastern Connecticut Planning Region (860) 450-7471
EMMA MILIKOWSKI LPC
Counselor
40 MANSFIELD AVE
WILLIMANTIC, CT 06226
Southeastern Connecticut Planning Region (860) 450-7471
ARIYE M KRASSNER
Nurse Practitioner (Psychiatric/Mental Health)
40 MANSFIELD AVE
WILLIMANTIC, CT 06226
Southeastern Connecticut Planning Region (860) 450-7471
TERRY CARDINAL RDH
Dental Hygienist
40 MANSFIELD AVE
WILLIMANTIC, CT 06226
Southeastern Connecticut Planning Region (860) 450-7471

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 Mychael Mckeever's NPI number?

The NPI number for Mychael Mckeever is 1083413082. It was assigned to this individual provider in the NPPES registry on March 11, 2025.

Where is Mychael Mckeever located?

Mychael Mckeever practices at 40 Mansfield Ave, Willimantic, CT 06226. The listed phone number is (860) 450-7471.

What is Mychael Mckeever's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Mychael Mckeever enrolled in Medicare?

Yes. Mychael Mckeever is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Mychael Mckeever was last updated on June 23, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.