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MCKENNA WAYNE BOX
NPI 1093317596
Student in an Organized Health Care Education/Training Program in Edmond, OK

Active since November 10, 2020PECOS Enrolled
14025 N EASTERN AVE APT 1816, EDMOND, OK 73013(405) 626-1647 Get Directions Write a Review

NPPES record last updated: November 10, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mckenna Wayne Box NPPES

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

MCKENNA WAYNE BOX (NPI 1093317596) is an individual student in an organized health care education/training program in Edmond, Oklahoma and active in the NPI registry since November 2020. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1093317596
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameMCKENNA WAYNE BOX
Location Address14025 N EASTERN AVE APT 1816Edmond, OK 73013-5767
Mailing Address14025 N Eastern Ave Apt 1816Edmond, OK 73013-5767 · (405) 626-1647
Phone(405) 626-1647
Sole ProprietorNo
Enumeration DateNovember 10, 2020
NPPES CertifiedNovember 10, 2020
✔ NPI 1093317596 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.
14025 N EASTERN AVE APT 1816, Edmond, OK 73013
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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)

Mckenna Wayne Box 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.

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 Mckenna Box's NPI number?

The NPI number for Mckenna Box is 1093317596. It was assigned to this individual provider in the NPPES registry on November 10, 2020.

Where is Mckenna Box located?

Mckenna Box practices at 14025 N Eastern Ave Apt 1816, Edmond, OK 73013. The listed phone number is (405) 626-1647.

What is Mckenna Box's specialty?

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

Is Mckenna Box enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Mckenna Box was last updated on November 10, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.