Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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MS. Ellen Mary McKinnon, NURSEPRACTITIONER

Individual provider Acute Care Nurse Practitioner · NPI 1336221795

MS. Ellen Mary McKinnon, NURSEPRACTITIONER is a Nurse Practitioner in Lebanon, New Hampshire. Qualified in 2002, 24 years ago. Practices with Mary Hitchcock Memorial Hospital, a 1,266-clinician group and accepts Medicare assignment. Licensed in New Hampshire.

Years since qualifying
24
Licensed in
NH
In the registry since
2006
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Practice location Address checks out

1 Medical Center Dr Dhmc General Surgery
Lebanon, NH 03756-1000
Phone: (603) 650-8022
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence 032812-23-12 (NH)

Record details

NPI number1336221795
Entity typeIndividual (Type 1)
GenderFemale
Credentials NURSEPRACTITIONER
Sole proprietorNo
NPI enumeratedOctober 19, 2006
Last updated in NPPESJuly 16, 2007

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2002 (24 years in practice)
Group practice Mary Hitchcock Memorial Hospital — 1266 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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