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JOHANNA CATHERINE MCKENNA CRNP
NPI 1265049324
Nurse Practitioner - Family in Lebanon, NH

Active since September 23, 2020PECOS EnrolledAccepts Medicare Assignment
18 OLD ETNA RD, LEBANON, NH 03766(603) 650-5000(603) 640-1228 Get Directions Write a Review

NPPES record last updated: December 15, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 15, 2025, Feb 18, 2025, Feb 23, 2021 and 1 more (4 updates tracked since 2020).

About Johanna Catherine Mckenna Crnp NPPES

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

JOHANNA CATHERINE MCKENNA CRNP (NPI 1265049324) is an individual family provider in Lebanon, New Hampshire, licensed in New Hampshire (111369-23) and active in the NPI registry since September 2020. She is enrolled in Medicare PECOS, is affiliated with Mary Hitchcock Memorial Hospital, and is a graduate of George Washington University School Of Medicine (2020).

NPPES Registry Identity

NPI1265049324
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameJOHANNA CATHERINE MCKENNACredential: CRNP
Location Address18 OLD ETNA RDLebanon, NH 03766-1970
Mailing Address2802 Urbana DrSilver Spring, MD 20906-5033 · (603) 630-4454
Phone(603) 650-5000
Fax(603) 640-1228
Sole ProprietorYes
Medical School CMSGeorge Washington University School Of MedicineGraduated 2020
Enumeration DateSeptember 23, 2020
Last NPPES UpdateDecember 15, 20254 updates tracked since enumeration
NPPES CertifiedDecember 15, 2025
✔ NPI 1265049324 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Licenses✔ Licensed in NH · 111369-23✔ Licensed in MD · R220471
18 OLD ETNA RD, Lebanon, NH 03766
Open in Google Maps ↗

Other Names 1

Former Name (1)Johanna Catherine Lake

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Sheld, Anthem Blue Cross and Blue Shield, Harvard Pilgrim Health Care.Insurance ›

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

Johanna Catherine Mckenna Crnp 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 ID7911384359
PECOS Enrollment IDI20250225000261
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.

Hospital Affiliations CMS Care Compare 4

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Mary Hitchcock Memorial Hospital

Acute Care Hospitals · Lebanon, NH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number300003
Location1 Medical Center DriveLebanon, NH 03756 · Grafton County
Emergency services Birthing friendly

New London Hospital

Critical Access Hospitals · New London, NH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number301304
Location273 County RoadNew London, NH 03257 · Merrimack County
Emergency services

Alice Peck Day Memorial Hospital

Critical Access Hospitals · Lebanon, NH
OwnershipVoluntary non-profit - Private
CMS Certification Number301305
Location10 Alice Peck Day DriveLebanon, NH 03766 · Grafton County
Emergency services

Mt Ascutney Hospital

Critical Access Hospitals · Windsor, VT
OwnershipVoluntary non-profit - Private
CMS Certification Number471302
Location289 County RoadWindsor, VT 05089 · Windsor County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 03766 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
$89.14 typical visit price
range $57.75 – $174.26
Typical copayment $22.28 (range $14.43 – $43.56)
Most-billed visit code 99203
Established Patient
$101.54 typical visit price
range $18.70 – $142.15
Typical copayment $25.38 (range $4.67 – $35.53)
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 20

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

ZANIRA FAZAL M.D.
Internal Medicine
18 OLD ETNA RD
LEBANON, NH 03766
Grafton County (603) 650-4000
DR. BRIAN SIMMONS MD
Dermatology
18 OLD ETNA RD
LEBANON, NH 03766
Grafton County (603) 650-3100
JEFFREY K SHORNICK MD
Dermatology
18 OLD ETNA RD, DHMC - DERMATOLOGY
LEBANON, NH 03766
Grafton County (603) 650-3100
NATHANIEL T SHERMAN PA-C
Physician Assistant
18 OLD ETNA RD
LEBANON, NH 03766
Grafton County (603) 650-4000
JAMIE PLIMPTON PA-C
Physician Assistant
18 OLD ETNA RD
LEBANON, NH 03766
Grafton County (603) 650-4000
CHRISTOPHER J VODILA ARNP
Nurse Practitioner (Family)
18 OLD ETNA RD
LEBANON, NH 03766
Grafton County (603) 650-5000
ZOE FROLKING
Pediatrics
18 OLD ETNA RD
LEBANON, NH 03766
Grafton County (603) 650-5000
DR. ELAINE LOUISE FLEMING M.D.
Internal Medicine
18 OLD ETNA RD, DHMC - INTERNAL MEDICINE
LEBANON, NH 03766
Grafton County (603) 650-4000

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 Johanna Mckenna's NPI number?

The NPI number for Johanna Mckenna is 1265049324. It was assigned to this individual provider in the NPPES registry on September 23, 2020. The provider is also known as Johanna Catherine Lake.

Where is Johanna Mckenna located?

Johanna Mckenna practices at 18 Old Etna Rd, Lebanon, NH 03766. The listed phone number is (603) 650-5000.

What is Johanna Mckenna's specialty?

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

Is Johanna Mckenna enrolled in Medicare?

Yes. Johanna Mckenna is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Johanna Mckenna accept?

Health plans from Anthem Blue Cross and Blue Sheld, Anthem Blue Cross and Blue Shield and Harvard Pilgrim Health Care list Johanna 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.

Is Johanna Mckenna affiliated with any hospitals?

According to CMS data, Johanna Mckenna is affiliated with Mary Hitchcock Memorial Hospital, New London Hospital, Alice Peck Day Memorial Hospital and Mt Ascutney Hospital.

When was this NPI record last updated?

The NPPES record for Johanna Mckenna was last updated on December 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.