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MCKENNA NELSON
NPI 1508672205
Physician Assistant in Tuba City, AZ

Active since December 06, 2024PECOS Enrolled
PO BOX 600, TUBA CITY, AZ 86045(928) 856-4314 Get Directions Write a Review

NPPES record last updated: March 23, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 23, 2026, Dec 6, 2024 (2 updates tracked since 2024).

About Mckenna Nelson NPPES

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

MCKENNA NELSON (NPI 1508672205) is an individual physician assistant in Tuba City, Arizona, licensed in Arizona (11412) and active in the NPI registry since December 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1508672205
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMCKENNA NELSON
Location AddressPO BOX 600Tuba City, AZ 86045-0600
Mailing Address9550 Stardust TrlFlagstaff, AZ 86004-1136
Phone(928) 856-4314
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateDecember 6, 2024
Last NPPES UpdateMarch 23, 20262 updates tracked since enumeration
NPPES CertifiedMarch 23, 2026
✔ NPI 1508672205 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in AZ · 11412
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
PO BOX 600, Tuba City, AZ 86045
Open in Google Maps ↗

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 Nelson is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6204302516
PECOS Enrollment IDI20260415001349
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 86045 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
$85.89 typical visit price
range $55.44 – $168.60
Typical copayment $21.47 (range $13.86 – $42.15)
Most-billed visit code 99203
Established Patient
$69.24 typical visit price
range $17.72 – $137.41
Typical copayment $17.31 (range $4.43 – $34.35)
Most-billed visit code 99213
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

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

AUSTIN VANHORN
Pharmacist
PO BOX 600
TUBA CITY, AZ 86045
Coconino County (928) 289-2759

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 Nelson's NPI number?

The NPI number for Mckenna Nelson is 1508672205. It was assigned to this individual provider in the NPPES registry on December 6, 2024.

Where is Mckenna Nelson located?

Mckenna Nelson practices at PO Box 600, Tuba City, AZ 86045. The listed phone number is (928) 856-4314.

What is Mckenna Nelson's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Mckenna Nelson enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Mckenna Nelson was last updated on March 23, 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.