MRS. TINA MARIE MCKENNON CRNP
NPI 1992163422
Nurse Practitioner - Adult Health in Philadelphia, PA
About Mrs. Tina Marie Mckennon Crnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. TINA MARIE MCKENNON CRNP (NPI 1992163422) is an individual adult health provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (SP015746) and active in the NPI registry since January 2016. She is enrolled in Medicare PECOS, is affiliated with West Jersey Hospital, and maintains a secondary practice location in Cherry Hill.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Mrs. Tina Marie Mckennon Crnp 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.
Medicare Billing Reassignments
3Medicare enrollment records show Tina Mckennon reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Philadelphia, PA 19104
- Reassigned Medicare billing, Pennsylvania enrollment
- 373 clinicians in this Medicare group
Bala Cynwyd, PA 19004
- Reassigned Medicare billing, New Jersey enrollment
- 58 clinicians in this Medicare group
Cherry Hill, NJ 08034
- Reassigned Medicare billing, New Jersey enrollment
- 382 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
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.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
West Jersey Hospital
Acute Care Hospitals · Voorhees, NJPenn Presbyterian Medical Center
Acute Care Hospitals · Philadelphia, PAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 19104 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Referred Medical Equipment & Supplies CMS DME claims
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
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.
PHILADELPHIA, PA 19104
PHILADELPHIA, PA 19104
PHILADELPHIA, PA 19104
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 Tina Mckennon's NPI number?
The NPI number for Tina Mckennon is 1992163422. It was assigned to this individual provider in the NPPES registry on January 28, 2016.
Where is Tina Mckennon located?
Tina Mckennon practices at 51 N 39th Street Cupp Building 1st Floor, Philadelphia, PA 19104. The listed phone number is (215) 662-9801.
What is Tina Mckennon's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.
Is Tina Mckennon enrolled in Medicare?
Yes. Tina Mckennon 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.
Which organizations bill Medicare for Tina Mckennon's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Tina Mckennon reassigns Medicare benefits to 3 organizations: University Of Penn-Medical Group (Philadelphia, PA), Clinical Healthcare Associates Of New Jersey Specialty Practices PC (Bala Cynwyd, PA) and Clinical Health Care Associates Of New Jersey, PC (Cherry Hill, NJ). Each 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 Tina Mckennon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Tina Mckennon affiliated with any hospitals?
According to CMS data, Tina Mckennon is affiliated with West Jersey Hospital and Penn Presbyterian Medical Center.
When was this NPI record last updated?
The NPPES record for Tina Mckennon was last updated on June 29, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Mrs. Tina Marie Mckennon, CRNP · NPI 1992163422
Adult Health physician in Philadelphia, Pennsylvania. Individual provider, active in the CMS NPPES registry since January 28, 2016.
## Identity
- **NPI:** 1992163422 (Entity type: Individual)
- **Enumerated:** January 28, 2016
- **Primary specialty:** Nurse Practitioner - Adult Health · taxonomy 363LA2200X
- **State license:** SP015746 (Pennsylvania)
- **Sole proprietor:** No
## Practice location
- **Address:** 51 N 39TH STREET, CUPP BUILDING 1ST FLOOR, Philadelphia, PA 19104-2640
- **Phone:** (215) 662-9801 · **Fax:** (215) 243-3249
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): University Of Penn-Medical Group (NPI 1679677975, Philadelphia, PA); Clinical Healthcare Associates Of New Jersey Specialty Practices PC (NPI 1104630714, Bala Cynwyd, PA); Clinical Health Care Associates Of New Jersey, PC (NPI 1508019241, Cherry Hill, NJ) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Jefferson Medical College Of Thomas Jefferson University, class of 2013
## Record status
- **NPPES last updated:** June 29, 2022
- **Other identifiers:** Medicaid 103155510 (PA)
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Source: [NPI Profile](https://npiprofile.com/npi/1992163422) · Data from the CMS NPPES public registry.