CHARLES JAMES MCKENNA
NPI 1679110332
Nurse Practitioner - Acute Care in Plano, TX

Q: What is Charles Mckenna's NPI number?

The NPI number for Charles Mckenna is 1679110332. It was assigned to this individual provider in the NPPES registry on December 2, 2019.

Q: What is Charles Mckenna's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Q: When was this NPI record last updated?

The NPPES record for Charles Mckenna was last updated on December 2, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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 December 02, 2019PECOS Enrolled

6124 W PARKER RD STE 530, PLANO, TX 75093(214) 778-1075 Get Directions Write a Review

NPPES record last updated: December 2, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Charles James Mckenna NPPES

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

CHARLES JAMES MCKENNA (NPI 1679110332) is an individual acute care provider in Plano, Texas, licensed in Texas (AP141458) and active in the NPI registry since December 2019. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1679110332

Entity TypeIndividualMale

Primary Taxonomy363LA2100X

Provider Legal NameCHARLES JAMES MCKENNA

Location Address6124 W PARKER RD STE 530Plano, TX 75093-8140

Mailing Address8904 Quarry Ridge TrailKeller, TX 76244 · (361) 815-3393

Phone(214) 778-1075

Sole ProprietorNo

Enumeration DateDecember 2, 2019

✔ NPI 1679110332 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2100X

License✔ Licensed in TX · AP141458

6124 W PARKER RD STE 530, Plano, TX 75093

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Charles James Mckenna 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.

Medicare Billing Reassignments

Medicare enrollment records show Charles Mckenna reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Advanced Wound Care Of North Texas PLLC

8.9 mi

Family Medicine

13154 COIT RD STE 102D
Dallas, TX 75240

Reassigned Medicare billing, Texas enrollment
17 clinicians in this Medicare group

NPI 1366908600 (956) 332-3809

Infinite Medical PC

1,520 mi

Family Medicine

7 CREEK LN
Bristol, RI 02809

Reassigned Medicare billing, Texas enrollment
155 clinicians in this Medicare group

NPI 1407483175 (718) 964-6161

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 3

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.

Assessment of emotional or behavioral problems 96127

Assessment of emotional or behavioral problems involves a thorough evaluation of your feelings, thoughts, and behaviors. It's a process where professionals study patterns over time to identify potential issues like anxiety, depression, or other mental health conditions.

61 services60 patients

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205

This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.

57 services56 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000

An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.

38 services38 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75093 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

$84.92 typical visit price

range $54.84 – $166.88

Typical copayment $21.23 (range $13.71 – $41.72)

Most-billed visit code 99203

Established Patient

$97.05 typical visit price

range $17.52 – $136.11

Typical copayment $24.26 (range $4.38 – $34.02)

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 8

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

DR. ARHAANTH DHARAM REDDY M.D.

Internal Medicine