ALYSSA MCKENNA DO
NPI 1396158606
Family Medicine in Upper Marlboro, MD
About Alyssa Mckenna Do NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ALYSSA MCKENNA DO (NPI 1396158606) is an individual family medicine provider in Upper Marlboro, Maryland, licensed in Maryland (H83105) and active in the NPI registry since June 2014. She is enrolled in Medicare PECOS and is a graduate of Lake Erie College Of Osteopathic Medicine, Erie (2014).
NPPES Registry Identity
Specialties & Licenses
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
Alyssa Mckenna Do 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
2Medicare enrollment records show Alyssa Mckenna reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Suitland, MD 20746
- Reassigned Medicare billing, District of Columbia enrollment
- 2,492 clinicians in this Medicare group
Atlanta, GA 30305
- Reassigned Medicare billing, Georgia enrollment
- 1,389 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
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 20774 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
LARGO, MD 20774
UPPER MARLBORO, MD 20774
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 Alyssa Mckenna's NPI number?
The NPI number for Alyssa Mckenna is 1396158606. It was assigned to this individual provider in the NPPES registry on June 4, 2014.
Where is Alyssa Mckenna located?
Alyssa Mckenna practices at 1221 Mercantile Lane, Upper Marlboro, MD 20774. The listed phone number is (301) 386-6600.
What is Alyssa Mckenna's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Alyssa Mckenna enrolled in Medicare?
Yes. Alyssa Mckenna 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 Alyssa Mckenna's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Alyssa Mckenna reassigns Medicare benefits to 2 organizations: Kaiser Foundation Health Plan Of The Mid Atlantic States, Inc (Suitland, MD) and The Southeast Permanente Medical Group (Atlanta, GA). 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 Alyssa Mckenna's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Alyssa Mckenna accept?
Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Alyssa Mckenna 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.
When was this NPI record last updated?
The NPPES record for Alyssa Mckenna was last updated on June 6, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.
# Alyssa Mckenna, DO · NPI 1396158606
Family Medicine physician in Upper Marlboro, Maryland. Individual provider, active in the CMS NPPES registry since June 4, 2014.
## Identity
- **NPI:** 1396158606 (Entity type: Individual)
- **Enumerated:** June 4, 2014
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** H83105 (Maryland)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1221 MERCANTILE LANE, Upper Marlboro, MD 20774
- **Phone:** (301) 386-6600 · **Fax:** (724) 770-7947
## 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:** 2 organizations under Medicare reassignment (form CMS-855R): Kaiser Foundation Health Plan Of The Mid Atlantic States, Inc (NPI 1730200965, Suitland, MD); The Southeast Permanente Medical Group (NPI 1245266956, Atlanta, GA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Lake Erie College Of Osteopathic Medicine, Erie, class of 2014
## Record status
- **NPPES last updated:** June 6, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1396158606) · Data from the CMS NPPES public registry.