PRINCESS MCKENZIE
NPI 1639763808
Nurse Practitioner - Psychiatric/Mental Health in Los Angeles, CA

Active since February 26, 2021PECOS EnrolledAccepts Medicare Assignment
5455 WILSHIRE BLVD STE 903, LOS ANGELES, CA 90036(844) 867-8444 Get Directions Write a Review

NPPES record last updated: August 1, 2023. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Apr 13, 2022, Feb 26, 2021 (2 updates tracked since 2021).

About Princess Mckenzie NPPES

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

PRINCESS MCKENZIE (NPI 1639763808) is an individual psychiatric/mental health provider in Los Angeles, California, licensed in California (95016485) and active in the NPI registry since February 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1639763808
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NamePRINCESS MCKENZIE
Location Address5455 WILSHIRE BLVD STE 903Los Angeles, CA 90036-4236
Mailing Address5455 Wilshire BlvdLos Angeles, CA 90036-4201 · (323) 639-5488
Sole ProprietorYes
Medical School CMSOtherGraduated 2020
Enumeration DateFebruary 26, 2021
Last NPPES UpdateAugust 1, 20232 updates tracked since enumeration
NPPES CertifiedAugust 1, 2023
NPI 1639763808 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License Licensed in CA · 95016485
5455 WILSHIRE BLVD STE 903, Los Angeles, CA 90036

Accepted Insurance

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

Princess Mckenzie 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 ID8729488200
PECOS Enrollment IDI20210621003161
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 90036 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
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
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 2

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

Psychiatry & Neurology (Psychiatry)
5455 WILSHIRE BLVD STE 903
LOS ANGELES, CA 90036
Psychiatry & Neurology (Psychiatry)
5455 WILSHIRE BLVD STE 903
LOS ANGELES, CA 90036

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 Princess Mckenzie's NPI number?

The NPI number for Princess Mckenzie is 1639763808. It was assigned to this individual provider in the NPPES registry on February 26, 2021.

Where is Princess Mckenzie located?

Princess Mckenzie practices at 5455 Wilshire Blvd Ste 903, Los Angeles, CA 90036. The listed phone number is (844) 867-8444.

What is Princess Mckenzie's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Princess Mckenzie enrolled in Medicare?

Yes. Princess 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.

What insurance does Princess Mckenzie accept?

Health plans from Providence Health Plan list Princess Mckenzie 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 Princess Mckenzie was last updated on August 1, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.