ELISE MCKENNA
NPI 1548670300
Surgery - Pediatric Surgery in New York, NY

Active since May 02, 2014PECOS EnrolledAccepts Medicare Assignment
530 1ST AVE STE 10W, NEW YORK, NY 10016(212) 263-7391 Get Directions Write a Review

NPPES record last updated: December 18, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 25, 2023, Dec 4, 2020, Jun 20, 2016 (3 updates tracked since 2016).

About Elise Mckenna NPPES

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

ELISE MCKENNA (NPI 1548670300) is an individual pediatric surgery provider in New York, New York, licensed in New York (325457) and active in the NPI registry since May 2014. She is enrolled in Medicare PECOS and is a graduate of New York Medical College (2014).

NPPES Registry Identity

NPI1548670300
Entity TypeIndividualFemale
Primary Taxonomy2086S0120X
Provider Legal NameELISE MCKENNA
Location Address530 1ST AVE STE 10WNew York, NY 10016-6402
Mailing Address530 1st Ave Ste 10wNew York, NY 10016-6402
Sole ProprietorNo
Medical School CMSNew York Medical CollegeGraduated 2014
Enumeration DateMay 2, 2014
Last NPPES UpdateDecember 18, 20233 updates tracked since enumeration
NPPES CertifiedDecember 18, 2023
NPI 1548670300 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtySurgery · Pediatric SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0120X
License Licensed in NY · 325457
Definition
A surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents.
Also ListedSurgeryTaxonomy 208600000X · License MD047525 (DC)
530 1ST AVE STE 10W, New York, NY 10016

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

Elise Mckenna 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 ID840583720
PECOS Enrollment IDI20231013002655
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 3

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

Psychiatry & Neurology (Neurology)
530 1ST AVE STE 10W
NEW YORK, NY 10016
Psychiatry & Neurology (Neurology)
530 1ST AVE STE 10W
NEW YORK, NY 10016
Surgery (Pediatric Surgery)
530 1ST AVE STE 10W
NEW YORK, NY 10016

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 Elise Mckenna's NPI number?

The NPI number for Elise Mckenna is 1548670300. It was assigned to this individual provider in the NPPES registry on May 2, 2014.

Where is Elise Mckenna located?

Elise Mckenna practices at 530 1st Ave Ste 10W, New York, NY 10016. The listed phone number is (212) 263-7391.

What is Elise Mckenna's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Pediatric Surgery, with taxonomy code 2086S0120X.

Is Elise Mckenna enrolled in Medicare?

Yes. Elise 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.

When was this NPI record last updated?

The NPPES record for Elise Mckenna was last updated on December 18, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.