JENNA M MCKENZIE FNP
NPI 1225412208
Nurse Practitioner - Family in Lake Ronkonkoma, NY

Q: What is Jenna Mckenzie's NPI number?

The NPI number for Jenna Mckenzie is 1225412208. It was assigned to this individual provider in the NPPES registry on July 19, 2015.

Q: What is Jenna Mckenzie's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Jenna Mckenzie was last updated on September 21, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since July 19, 2015PECOS EnrolledAccepts Medicare Assignment

640 HAWKINS AVE, LAKE RONKONKOMA, NY 11779(631) 737-0100(631) 471-1117 Get Directions Write a Review

NPPES record last updated: September 21, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 21, 2021, Sep 20, 2019, Mar 17, 2018 and 2 more (5 updates tracked since 2016).

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About Jenna M Mckenzie Fnp NPPES

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

JENNA M MCKENZIE FNP (NPI 1225412208) is an individual family provider in Lake Ronkonkoma, New York, licensed in New York (340249) and active in the NPI registry since July 2015. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1225412208

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameJENNA M MCKENZIECredential: FNP

Location Address640 HAWKINS AVELake Ronkonkoma, NY 11779-2324

Mailing Address55 Water Street, 2nd Floor Cred DeptNew York, NY 10041-0004 · (646) 680-2888 · Fax (516) 542-5556

Phone(631) 737-0100

Fax(631) 471-1117

Sole ProprietorNo

Medical School CMSOtherGraduated 2016

Enumeration DateJuly 19, 2015

Last NPPES UpdateSeptember 21, 20215 updates tracked since enumeration

NPPES CertifiedSeptember 21, 2021

✔ NPI 1225412208 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in NY · 340249

Also ListedRegistered NurseTaxonomy 163W00000X · License 661769 (NY)

640 HAWKINS AVE, Lake Ronkonkoma, NY 11779

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Secondary Practice Locations 2

Location 11991 Marcus AveNew Hyde Park, NY 11042 · Phone (516) 354-1600

Location 2300 Bayshore RoadNorth Babylon, NY 11703-2823 · Phone (631) 586-2700 · Fax (631) 491-8613

Other Identifiers 1

Medicaid00695941NY

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jenna M Mckenzie Fnp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID941595920

PECOS Enrollment IDI20160830001741

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.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Cervical or vaginal cancer screening; pelvic and clinical breast examination G0101

This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.

56 services56 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

40 services36 patients

Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory Q0091

A Papanicolaou smear, often called a Pap smear, is a test to check for changes in cells. A small sample is gently collected from the lower region and sent to a lab for examination. This helps in early detection of potential health issues.

38 services38 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

33 services25 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11779 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

$105.06 typical visit price

range $67.40 – $203.53

Typical copayment $26.26 (range $16.85 – $50.88)

Most-billed visit code 99203

Established Patient

$117.62 typical visit price

range $21.66 – $164.45

Typical copayment $29.40 (range $5.41 – $41.11)

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.

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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.

TARA K SINGH MD

Internal Medicine