LIZA JEAN MCKENNA PA-C
NPI 1801517263
Physician Assistant - Medical in Endicott, NY

Active since September 06, 2022PECOS EnrolledAccepts Medicare Assignment
81.31/100
CMS Quality Rating
415 E MAIN ST, ENDICOTT, NY 13760(607) 784-2460 Get Directions Write a Review

NPPES record last updated: July 1, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 1, 2025, Sep 6, 2022 (2 updates tracked since 2022).

About Liza Jean Mckenna Pa-c NPPES

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

LIZA JEAN MCKENNA PA-C (NPI 1801517263) is an individual medical provider in Endicott, New York, licensed in New York (028862) and active in the NPI registry since September 2022. She is enrolled in Medicare PECOS, is affiliated with Our Lady Of Lourdes Memorial Hospital, Inc, and maintains a secondary practice location in Owego.

NPPES Registry Identity

NPI1801517263
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameLIZA JEAN MCKENNACredential: PA-C
Location Address415 E MAIN STEndicott, NY 13760-4925
Mailing Address34 Oday DrEndicott, NY 13760-7057 · (607) 725-5653
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateSeptember 6, 2022
Last NPPES UpdateJuly 1, 20252 updates tracked since enumeration
NPPES CertifiedJuly 1, 2025
NPI 1801517263 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in NY · 028862
415 E MAIN ST, Endicott, NY 13760

Secondary Practice Location 1

Location 1500 5th AveOwego, NY 13827-1620 · Phone (607) 687-1122

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

Liza Jean Mckenna Pa-c 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 ID6406225853
PECOS Enrollment IDI20221207002093
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

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

Our Lady Of Lourdes Memorial Hospital, Inc

Acute Care Hospitals · Binghamton, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330011
Location169 Riverside DriveBinghamton, NY 13905 · Broome County
Emergency services Birthing friendly

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

81.31/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality73.57
Promoting Interoperability95
Improvement Activities40
Cost64.87

Other Providers at the Same Location NPPES 12

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

Family Medicine
415 E MAIN ST
ENDICOTT, NY 13760
Nurse Practitioner
415 E MAIN ST
ENDICOTT, NY 13760
Nurse Practitioner (Adult Health)
415 E MAIN ST
ENDICOTT, NY 13760
Family Medicine
415 E MAIN ST
ENDICOTT, NY 13760
Family Medicine
415 E MAIN ST
ENDICOTT, NY 13760
Social Worker
415 E MAIN ST
ENDICOTT, NY 13760
Counselor (Mental Health)
415 E MAIN ST
ENDICOTT, NY 13760
Internal Medicine
415 E MAIN ST
ENDICOTT, NY 13760

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 Liza Mckenna's NPI number?

The NPI number for Liza Mckenna is 1801517263. It was assigned to this individual provider in the NPPES registry on September 6, 2022.

Where is Liza Mckenna located?

Liza Mckenna practices at 415 E Main St, Endicott, NY 13760. The listed phone number is (607) 784-2460.

What is Liza Mckenna's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Liza Mckenna enrolled in Medicare?

Yes. Liza 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.

Is Liza Mckenna affiliated with any hospitals?

According to CMS data, Liza Mckenna is affiliated with Our Lady Of Lourdes Memorial Hospital, Inc.

When was this NPI record last updated?

The NPPES record for Liza Mckenna was last updated on July 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.