Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mr. Tristan McKenna, FNP-C

Individual provider Family Nurse Practitioner · NPI 1912354739

Mr. Tristan McKenna, FNP-C is a Nurse Practitioner in Wilmington, North Carolina. Qualified in 2015, 11 years ago. Practices with Novant Health Medical Group Coastal Region LLC, a 576-clinician group and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
11
Licensed in
NC
In the registry since
2016
Specialties on file
2
What do these letters mean?
FNP-C — Family Nurse Practitioner, Certified
A family nurse practitioner certified by the AANP.

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Practice location Address checks out

1415 Physicians Dr
Wilmington, NC 28401-7338
Phone: (910) 662-9500
Fax: (910) 662-9501
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 5008581 (NC)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 260336 (NC)

Record details

NPI number1912354739
Entity typeIndividual (Type 1)
GenderMale
Credentials FNP-C
Sole proprietorNo
NPI enumeratedMay 23, 2016
Last updated in NPPESMay 27, 2021
Certification dateMay 27, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Novant Health Medical Group Coastal Region Llc — 576 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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