DR. KELLY ANN MCKENNA MD
NPI 1073190120
Student in an Organized Health Care Education/Training Program in Burlington, VT
NPI Status: Active since March 25, 2021
Contact Information
111 COLCHESTER AVE
BURLINGTON, VT
ZIP 05401
Phone: (802) 847-2345
- Individual
- Female
- Student in an Organized Health Care Educ...
- PECOS Enrolled
About KELLY MCKENNA
This page provides the complete NPI Profile along with additional information for Kelly Mckenna, a primary care provider established in Burlington, Vermont with a medical specialization in Student In An Organized Health Care Education/training Program. The healthcare provider is registered in the NPI registry with number 1073190120 assigned on March 2021. The practitioner's primary taxonomy code is 390200000X. The provider is registered as an individual and her NPI record was last updated 4 years ago.
- NPI
- 1073190120
- Provider Name
- DR. KELLY ANN MCKENNA MD
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 111 COLCHESTER AVE BURLINGTON, VT 05401
- Location Phone
- (802) 847-2345
- Mailing Address
- 17 BROOKHAVEN LN SOUTH WINDSOR, CT 06074
- Mailing Phone
- (860) 951-5534
- Is Sole Proprietor?
- No
- Enumeration Date
- 03-25-2021
- Last Update Date
- 03-25-2021
- Code Navigator
A primary care provider (PCP) like Kelly Mckenna sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Student in an Organized Health Care Education/Training Program
- Taxonomy Code
- 390200000X
- Type
- Student, Health Care
- Taxonomy Description
- An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Medicare Participation & PECOS Enrollment Status
Kelly Mckenna is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 0 | 7 | 3 | 1 | 9 | 0 | 1 | 2 | 0 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 0 | 14 | 3 | 2 | 9 | 0 | 1 | 4 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 0 + 1 + 4 + 3 + 2 + 9 + 0 + 1 + 4 + 24 = 50 | |||||||||
| Step 3: because the number obtained in step 2 ends in zero, the check digit is zero. | |||||||||
| 0 | |||||||||
The NPI number 1073190120 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1295733087 | CURTIS GREEN MD Individual | Radiology (Diagnostic Radiology) | 111 COLCHESTER AVE PATRICK 109 MCHV BURLINGTON, VT 05401 (802) 847-3592 |
| 1326034992 | DR. SCOTT D PERRAPATO D.O. Individual | Urology | 111 COLCHESTER AVE FLETCHER ALLEN HEALTH CARE PAVILION LEVEL 5 BURLINGTON, VT 05401 (802) 847-2884 |
| 1144200940 | DR. JEFFREY B SCHNOOR PHARM.D. Individual | Pharmacist | 111 COLCHESTER AVE BURLINGTON, VT 05401 (802) 847-0058 |
| 1083684120 | MICHAEL JOHN OBERDING MD Individual | Anesthesiology | 111 COLCHESTER AVE BURLINGTON, VT 05401 (802) 847-2415 |
| 1528030038 | MRS. MICHELLE KATHLEEN KEARNEY PA C Individual | Physician Assistant | 111 COLCHESTER AVE FLETCHER ALLEN HEALTH CARE NEUROSURGERY BURLINGTON, VT 05401 (802) 847-4590 |
| 1093788317 | ELLEN GLORIA EVANS Individual | Dietitian, Registered | 111 COLCHESTER AVE FLETCHER ALLEN HEALTH CARE BURLINGTON, VT 05401 (802) 847-1400 |
| 1174599278 | MONIKA MODLINSKI M.D. Individual | Anesthesiology | 111 COLCHESTER AVE BURLINGTON, VT 05401 (802) 847-2415 |
| 1962479683 | MRS. ANNE ELIZABETH KLEIN PA-C Individual | Physician Assistant | 111 COLCHESTER AVE DERMATOLOGY OUTPATIENT CLINIC, 5TH FLOOR BURLINGTON, VT 05401 (802) 847-4570 |
| 1780652511 | KATE ALANNA HODGE CRNA Individual | Nurse Anesthetist, Certified Registered | 111 COLCHESTER AVE FAHC ANESTHESIA BURLINGTON, VT 05401 (802) 847-2434 |
| 1306814140 | MRS. JANICE MARIE GROSCHEN CRNA Individual | Nurse Anesthetist, Certified Registered | 111 COLCHESTER AVE FAHC-DEPARTMENT OF ANESTHESIOLOGY BURLINGTON, VT 05401 (802) 847-2415 |
| 1154382042 | DR. REBECCA OWEN RUID PHD Individual | Psychologist (Clinical) | 111 COLCHESTER AVE FAHC PSYCHOLOGY SERVICES BURLINGTON, VT 05401 (802) 847-7967 |
| 1881655496 | DR. BRIAN YOUNG KIM MD Individual | Ophthalmology | 111 COLCHESTER AVE 358WP5 OPHTHALMOLOGY BURLINGTON, VT 05401 (802) 847-2251 |
| 1861455511 | MR. STEPHEN LYNN GROSCHEN CRNA Individual | Nurse Anesthetist, Certified Registered | 111 COLCHESTER AVE BURLINGTON, VT 05401 (802) 847-2415 |
| 1346208907 | ERIC KUMAR GANGULY MD Individual | Internal Medicine (Gastroenterology) | 111 COLCHESTER AVE 5TH FLOOR WEST PAVILION BURLINGTON, VT 05401 (802) 847-8865 |
| 1154379063 | DR. ROBERT MICHAEL LOBEL MD Individual | Internal Medicine (Clinical Cardiac Electrophysiology) | 111 COLCHESTER AVE MCCLURE 1 BUILDING, FLETCHER ALLEN HEALTH CARE BURLINGTON, VT 05401 (802) 847-3734 |
| 1407805708 | JAMIE L KELLY PA Individual | Physician Assistant | 111 COLCHESTER AVE ACCMP2 BURLINGTON, VT 05401 (802) 847-0000 |
| 1982643870 | MARK P HAMLIN M.D. Individual | Anesthesiology | 111 COLCHESTER AVE FAHC-WP2 BURLINGTON, VT 05401 (802) 847-2415 |
| 1154360063 | JOHN M FISHER M.D. Individual | Anesthesiology | 111 COLCHESTER AVE FAHC-WP2 BURLINGTON, VT 05401 (802) 847-2415 |
| 1013956960 | JENNIFER DANLES CRNA Individual | Anesthesiology | 111 COLCHESTER AVE FAHC-WP2 BURLINGTON, VT 05401 (802) 847-2415 |
| 1073552857 | EVA V FRASER-HARRIS M.D. Individual | Anesthesiology | 111 COLCHESTER AVE FAHC-WP2 BURLINGTON, VT 05401 (802) 847-2415 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1073190120, enumerated in the NPI registry as an "individual" on March 25, 2021
The provider is located at 111 Colchester Ave Burlington, Vt 05401 and the phone number is (802) 847-2345
The provider's speciality is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
This NPI record was last updated on March 25, 2021. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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