ALYSSA MCKENNA DO
NPI 1396158606
Family Medicine in Upper Marlboro, MD

Active since June 04, 2014PECOS EnrolledAccepts Medicare Assignment
1221 MERCANTILE LANE, UPPER MARLBORO, MD 20774(301) 386-6600(724) 770-7947 Get Directions Write a Review

NPPES record last updated: June 6, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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

NPI1396158606
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameALYSSA MCKENNACredential: DO
Location Address1221 MERCANTILE LANEUpper Marlboro, MD 20774
Mailing Address1221 Mercantile LaneUpper Marlboro, MD 20774 · (724) 773-8900 · Fax (724) 770-7947
Fax(724) 770-7947
Sole ProprietorYes
Medical School CMSLake Erie College Of Osteopathic Medicine, ErieGraduated 2014
Enumeration DateJune 4, 2014
Last NPPES UpdateJune 6, 2021
NPPES CertifiedJune 6, 2021
NPI 1396158606 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses Licensed in MD · H83105 Licensed in DC · D0034658 Licensed in PA · OT015909
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1221 MERCANTILE LANE, Upper Marlboro, MD 20774

Medicare Participation & PECOS CMS

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

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.

PECOS PAC ID9032414677
PECOS Enrollment IDI20180212002036
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.

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.

Telephone medical discussion with physician, 11-20 minutes 99442
This is a service where you have a phone conversation with your doctor for 11-20 minutes. It's used for discussing health concerns, reviewing test results, or managing ongoing conditions. It's a convenient way to receive medical advice without an in-person visit.
11 services11 patients

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.

New Patient
$100.31 typical visit price
range $65.18 – $194.86
Typical copayment $25.07 (range $16.29 – $48.71)
Most-billed visit code 99203
Established Patient
$113.72 typical visit price
range $21.40 – $158.88
Typical copayment $28.43 (range $5.35 – $39.72)
Most-billed visit code 99214
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 20

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

Optometrist
1221 MERCANTILE LANE
LARGO, MD 20774
Otolaryngology
1221 MERCANTILE LANE
LARGO, MD 20774
Family Medicine (Adult Medicine)
1221 MERCANTILE LANE
LARGO, MD 20774
Internal Medicine
1221 MERCANTILE LANE
LARGO, MD 20774
Obstetrics & Gynecology
1221 MERCANTILE LANE
LARGO, MD 20774
Nurse Practitioner
1221 MERCANTILE LANE
LARGO, MD 20774
Audiologist
1221 MERCANTILE LANE
LANDOVER, MD 20774
Internal Medicine (Gastroenterology)
1221 MERCANTILE LANE
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.

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.