MARY ALYCE MCKENDREE N.P.
NPI 1366793176
Nurse Practitioner - Family in Elizabeth City, NC
About Mary Alyce Mckendree N.p. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MARY ALYCE MCKENDREE N.P. (NPI 1366793176) is an individual family provider in Elizabeth City, North Carolina, licensed in North Carolina (5018002) and active in the NPI registry since September 2012. She is enrolled in Medicare PECOS, is affiliated with Sentara Albemarle Medical Center, and maintains 2 additional practice locations.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Secondary Practice Locations 2
Accepted Insurance
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
Mary Alyce Mckendree N.p. 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 Mary Mckendree reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Elizabeth City, NC 27909
- Reassigned Medicare billing, North Carolina enrollment
- 176 clinicians in this Medicare group
Fayetteville, NC 28314
- Reassigned Medicare billing, North Carolina enrollment
- Medicare enrollment name: Matrix Occupational Health PC
- 55 clinicians in this Medicare group
Dallas, TX 75244
- Reassigned Medicare billing, Virginia enrollment
- 501 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 4
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
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Sentara Albemarle Medical Center
Acute Care Hospitals · Elizabeth City, NCPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 27909 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Other Providers at the Same Location NPPES 9
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
ELIZABETH CITY, NC 27909
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 Mary Mckendree's NPI number?
The NPI number for Mary Mckendree is 1366793176. It was assigned to this individual provider in the NPPES registry on September 20, 2012. The provider is also known as Mary Alyce Grinnell Mckendree N.P.
Where is Mary Mckendree located?
Mary Mckendree practices at 615 S Hughes Blvd, Elizabeth City, NC 27909. The listed phone number is (252) 338-3111.
What is Mary Mckendree's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Mary Mckendree enrolled in Medicare?
Yes. Mary Mckendree 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 Mary Mckendree's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Mary Mckendree reassigns Medicare benefits to 3 organizations: Albemarle Physician Services - Sentara, Inc (Elizabeth City, NC), Matrix Occupational Health P.C. (Fayetteville, NC) and Signify Health, LLC (Dallas, TX). 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 Mary Mckendree's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Mary Mckendree accept?
Health plans from Blue Cross and Blue Shield of NC and Cigna Healthcare list Mary Mckendree as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
Is Mary Mckendree affiliated with any hospitals?
According to CMS data, Mary Mckendree is affiliated with Sentara Albemarle Medical Center.
When was this NPI record last updated?
The NPPES record for Mary Mckendree was last updated on January 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.
# Mary Alyce Mckendree, N.P. · NPI 1366793176
Family physician in Elizabeth City, North Carolina. Individual provider, active in the CMS NPPES registry since September 20, 2012.
## Identity
- **NPI:** 1366793176 (Entity type: Individual)
- **Enumerated:** September 20, 2012
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 5018002 (North Carolina)
- **Sole proprietor:** No
## Practice location
- **Address:** 615 S HUGHES BLVD, Elizabeth City, NC 27909-4785
- **Phone:** (252) 338-3111 · **Fax:** (252) 333-3774
## 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): Albemarle Physician Services - Sentara, Inc (NPI 1407124654, Elizabeth City, NC); Matrix Occupational Health P.C. (NPI 1144279670, Fayetteville, NC); Signify Health, LLC (NPI 1689158487, Dallas, TX) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2010
## Record status
- **NPPES last updated:** January 30, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1366793176) · Data from the CMS NPPES public registry.