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KERIANNE MCKENZIE
NPI 1104530401
Physician Assistant in Vista, CA

Active since January 11, 2023PECOS Enrolled
2067 W VISTA WAY STE 250, VISTA, CA 92083(951) 852-6334 Get Directions Write a Review

NPPES record last updated: November 12, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 12, 2025, Jan 11, 2023 (2 updates tracked since 2023).

About Kerianne Mckenzie NPPES

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

KERIANNE MCKENZIE (NPI 1104530401) is an individual physician assistant in Vista, California and active in the NPI registry since January 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1104530401
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameKERIANNE MCKENZIE
Location Address2067 W VISTA WAY STE 250Vista, CA 92083-6034
Mailing Address9835 Jake Ln Apt 11404San Diego, CA 92126-2972
Phone(951) 852-6334
Sole ProprietorNo
Enumeration DateJanuary 11, 2023
Last NPPES UpdateNovember 12, 20252 updates tracked since enumeration
NPPES CertifiedNovember 12, 2025
✔ NPI 1104530401 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
2067 W VISTA WAY STE 250, Vista, CA 92083
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kerianne Mckenzie 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92083 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
$94.87 typical visit price
range $62.10 – $184.71
Typical copayment $23.71 (range $15.52 – $46.17)
Most-billed visit code 99203
Established Patient
$76.87 typical visit price
range $20.62 – $151.42
Typical copayment $19.21 (range $5.15 – $37.85)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 6

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

TPIRC MEDICAL FOUNDATION INC
Pediatrics (Pediatric Allergy/Immunology)
2067 W VISTA WAY STE 250
VISTA, CA 92083
San Diego County (562) 490-9900
DR. LAUREN SEVERS MCNEELY M.D.
Pediatrics
2067 W VISTA WAY STE 250
VISTA, CA 92083
San Diego County (562) 490-9900
MARISSA JOHNSON
Nurse Practitioner (Pediatrics)
2067 W VISTA WAY STE 250
VISTA, CA 92083
San Diego County (562) 490-9900
HELEN NGUYEN
Physician Assistant
2067 W VISTA WAY STE 250
VISTA, CA 92083
San Diego County (562) 490-9900
JULIANNE ELIZABETH SCHLICHTING-BADER PA-C, PHARMD
Physician Assistant
2067 W VISTA WAY STE 250
VISTA, CA 92083
San Diego County (562) 490-9900
ZOE FOX
Physician Assistant
2067 W VISTA WAY STE 250
VISTA, CA 92083
San Diego County (562) 490-9900

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 Kerianne Mckenzie's NPI number?

The NPI number for Kerianne Mckenzie is 1104530401. It was assigned to this individual provider in the NPPES registry on January 11, 2023.

Where is Kerianne Mckenzie located?

Kerianne Mckenzie practices at 2067 W Vista Way Ste 250, Vista, CA 92083. The listed phone number is (951) 852-6334.

What is Kerianne Mckenzie's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Kerianne Mckenzie enrolled in Medicare?

Yes. Kerianne Mckenzie is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kerianne Mckenzie was last updated on November 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.