Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DEREK MCKENNA NP
NPI 1932859865
Nurse Practitioner - Psychiatric/Mental Health in Norwich, NY

Active since March 24, 2022PECOS Enrolled
84.63/100
CMS Quality Rating
1 VIRGINIA LN, NORWICH, NY 13815(607) 424-6392(607) 405-2516 Get Directions Write a Review

NPPES record last updated: November 5, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Nov 5, 2026, Oct 3, 2022 (2 updates tracked since 2022).

About Derek Mckenna Np NPPES

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

DEREK MCKENNA NP (NPI 1932859865) is an individual psychiatric/mental health provider in Norwich, New York, licensed in New York (404367) and active in the NPI registry since March 2022. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1932859865
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameDEREK MCKENNACredential: NP
Location Address1 VIRGINIA LNNorwich, NY 13815-1820
Mailing Address1 Virginia LnNorwich, NY 13815-1820 · (607) 424-6392 · Fax (607) 405-2516
Fax(607) 405-2516
Sole ProprietorNo
Enumeration DateMarch 24, 2022
Last NPPES UpdateNovember 5, 20262 updates tracked since enumeration
NPPES CertifiedNovember 5, 2026
✔ NPI 1932859865 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in NY · 404367
1 VIRGINIA LN, Norwich, NY 13815

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Derek Mckenna Np 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 Reassignment

Medicare enrollment records show Derek Mckenna reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Multi-Specialty
33-57 HARRISON ST.
Johnson City, NY 13790
  • Reassigned Medicare billing, New York enrollment
  • 854 clinicians in this Medicare group

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 2

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
93 services23 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 13815 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
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
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.

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.

84.63/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality87.96
Promoting Interoperability100
Improvement Activities40
Cost54.42

Other Providers at the Same Location NPPES

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

Social Worker
1 VIRGINIA LN
NORWICH, NY 13815

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 Derek Mckenna's NPI number?

The NPI number for Derek Mckenna is 1932859865. It was assigned to this individual provider in the NPPES registry on March 24, 2022.

Where is Derek Mckenna located?

Derek Mckenna practices at 1 Virginia Ln, Norwich, NY 13815. The listed phone number is (607) 424-6392.

What is Derek Mckenna's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Derek Mckenna enrolled in Medicare?

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

Which organization bills Medicare for Derek Mckenna's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Derek Mckenna reassigns Medicare benefits to United Health Services Hospitals, Inc. (Johnson City, NY). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Derek Mckenna's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Derek Mckenna was last updated on November 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 days 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.