SHANICE ALYSSA MCKENZIE MD
NPI 1548899297
Student in an Organized Health Care Education/Training Program in Sylmar, CA

Active since April 05, 2020PECOS EnrolledAccepts Medicare Assignment
14445 OLIVE VIEW DR, SYLMAR, CA 91342(747) 210-3000 Get Directions Write a Review

NPPES record last updated: May 27, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: May 27, 2025, Apr 5, 2020 (2 updates tracked since 2020).

About Shanice Alyssa Mckenzie Md NPPES

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

SHANICE ALYSSA MCKENZIE MD (NPI 1548899297) is an individual student in an organized health care education/training program in Sylmar, California and active in the NPI registry since April 2020. She is enrolled in Medicare PECOS and is a graduate of University Of California, Geffen School Of Medicine (2020).

NPPES Registry Identity

NPI1548899297
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameSHANICE ALYSSA MCKENZIECredential: MD
Location Address14445 OLIVE VIEW DRSylmar, CA 91342-1437
Mailing Address3161 S Sepulveda Blvd Apt 208Los Angeles, CA 90034-4266 · (631) 805-7465
Sole ProprietorNo
Medical School CMSUniversity Of California, Geffen School Of MedicineGraduated 2020
Enumeration DateApril 5, 2020
Last NPPES UpdateMay 27, 20252 updates tracked since enumeration
NPPES CertifiedApril 5, 2020
✔ NPI 1548899297 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
14445 OLIVE VIEW DR, Sylmar, CA 91342

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

Shanice Alyssa Mckenzie Md 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 ID5799225025
PECOS Enrollment IDI20240912002640
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.

Medicare Billing Reassignments

3

Medicare enrollment records show Shanice Mckenzie reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Health Maintenance Organization
19105 GOLDEN VALLEY RD
Santa Clarita, CA 91387
  • Reassigned Medicare billing, California enrollment
  • 13,921 clinicians in this Medicare group
Specialist
9535 RESEDA BLVD, SUITE 304
Northridge, CA 91324
  • Reassigned Medicare billing, California enrollment
  • Medicare enrollment name: Skin And Beauty Center Inc
  • 26 clinicians in this Medicare group
Dermatology
888 S FIGUEROA ST STE 1050
Los Angeles, CA 90017
  • Reassigned Medicare billing, California enrollment
  • 14 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.

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.

General Acute Care Hospital
14445 OLIVE VIEW DR
SYLMAR, CA 91342
Nurse Practitioner (Family)
14445 OLIVE VIEW DR
SYLMAR, CA 91342
Student in an Organized Health Care Education/Training Program
14445 OLIVE VIEW DR
SYLMAR, CA 91342
Pathology (Anatomic Pathology & Clinical Pathology)
14445 OLIVE VIEW DR, ROOM 1A116
SYLMAR, CA 91342
Internal Medicine (Infectious Disease)
14445 OLIVE VIEW DR, 2B182
SYLMAR, CA 91342
Physical Therapy Assistant
14445 OLIVE VIEW DR
SYLMAR, CA 91342
General Acute Care Hospital
14445 OLIVE VIEW DR
SYLMAR, CA 91342
Physical Therapist
14445 OLIVE VIEW DR
SYLMAR, CA 91342

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 Shanice Mckenzie's NPI number?

The NPI number for Shanice Mckenzie is 1548899297. It was assigned to this individual provider in the NPPES registry on April 5, 2020.

Where is Shanice Mckenzie located?

Shanice Mckenzie practices at 14445 Olive View Dr, Sylmar, CA 91342. The listed phone number is (747) 210-3000.

What is Shanice Mckenzie's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Shanice Mckenzie enrolled in Medicare?

Yes. Shanice Mckenzie 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 Shanice Mckenzie's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shanice Mckenzie reassigns Medicare benefits to 3 organizations: Southern California Permanente Medical Group (Santa Clarita, CA), Skin And Beauty Center (sbc), Inc. (Northridge, CA) and James Y. Wang, MD, Inc. (Los Angeles, CA). 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 Shanice Mckenzie's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Shanice Mckenzie was last updated on May 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.