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MR. ALEX MICHAEL MCKENNON PA-C
NPI 1730062779
Physician Assistant in Lowell, MA

Active since July 28, 2025PECOS Enrolled
295 VARNUM AVE, LOWELL, MA 01854(978) 937-6439 Get Directions Write a Review

NPPES record last updated: April 13, 2026. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Mr. Alex Michael Mckennon Pa-c NPPES

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

MR. ALEX MICHAEL MCKENNON PA-C (NPI 1730062779) is an individual physician assistant in Lowell, Massachusetts, licensed in Massachusetts (PA101999) and active in the NPI registry since July 2025. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2025).

NPPES Registry Identity

NPI1730062779
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMR. ALEX MICHAEL MCKENNONCredential: PA-C
Location Address295 VARNUM AVELowell, MA 01854-2134
Mailing Address290 Littleton Rd Unit 3Chelmsford, MA 01824-3429 · (978) 258-4734
Phone(978) 937-6439
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateJuly 28, 2025
Last NPPES UpdateApril 13, 2026
NPPES CertifiedApril 13, 2026
✔ NPI 1730062779 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in MA · PA101999
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.
295 VARNUM AVE, Lowell, MA 01854
Open in Google Maps ↗

Secondary Practice Locations 2

Location 125 Highland AveNewburyport, MA 01950-3867 · Phone (978) 463-1000
Location 285 Herrick StBeverly, MA 01915-1790 · Phone (978) 922-3000

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Alex Michael Mckennon Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID345731451
PECOS Enrollment IDI20251117003820
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 01854 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
$97.64 typical visit price
range $63.72 – $189.86
Typical copayment $24.41 (range $15.93 – $47.46)
Most-billed visit code 99203
Established Patient
$78.84 typical visit price
range $21.07 – $155.29
Typical copayment $19.71 (range $5.26 – $38.82)
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 20

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

RAVI KRISHNA MURTHY MD
Emergency Medicine
295 VARNUM AVE
LOWELL, MA 01854
Middlesex County (978) 937-6161
NICOLE FLAHERTY
Nurse Practitioner (Pediatrics)
295 VARNUM AVE
LOWELL, MA 01854
Middlesex County (978) 937-6000
MRS. JULIE FRANCES VERGADOS SIMONEAU
Nurse Practitioner
295 VARNUM AVE
LOWELL, MA 01854
Middlesex County (978) 937-6088
KELLY SURABIAN
Physician Assistant
295 VARNUM AVE
LOWELL, MA 01854
Middlesex County (978) 937-6000
MISS MICHELLE MUKASA PA-C
Physician Assistant
295 VARNUM AVE
LOWELL, MA 01854
Middlesex County (978) 937-6439
DR. SUFYAN A SHEIKH MD
Anesthesiology
295 VARNUM AVE, ANESTHETICS OF LOWELL, PC
LOWELL, MA 01854
Middlesex County (978) 454-0941
DR. CYNTHIA LYNN MANNING M.D.
Hospitalist
295 VARNUM AVE
LOWELL, MA 01854
Middlesex County (978) 937-6439
JULIEANN DUONG PA-C
Physician Assistant (Medical)
295 VARNUM AVE
LOWELL, MA 01854
Middlesex County (978) 937-6000

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 Alex Mckennon's NPI number?

The NPI number for Alex Mckennon is 1730062779. It was assigned to this individual provider in the NPPES registry on July 28, 2025.

Where is Alex Mckennon located?

Alex Mckennon practices at 295 Varnum Ave, Lowell, MA 01854. The listed phone number is (978) 937-6439.

What is Alex Mckennon's specialty?

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

Is Alex Mckennon enrolled in Medicare?

Yes. Alex Mckennon is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Alex Mckennon was last updated on April 13, 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.