KIMBERLY ANNE MCKENNA MD
NPI 1669805321
Psychiatry & Neurology - Child & Adolescent Psychiatry in Portland, OR

Active since August 17, 2013PECOS Enrolled
3181 SW SAM JACKSON PARK RD, OHSU, PORTLAND, OR 97239(503) 494-8220 Get Directions Write a Review

NPPES record last updated: August 23, 2022. Verified against the NPPES registry weekly; last sync: September 20, 2026.

Record update history: Aug 23, 2022, Apr 29, 2022, Apr 22, 2022 (3 updates tracked since 2022).

About Kimberly Anne Mckenna Md NPPES

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

KIMBERLY ANNE MCKENNA MD (NPI 1669805321) is an individual child & adolescent psychiatry provider in Portland, Oregon, licensed in Oregon (MD194301) and active in the NPI registry since August 2013. She is enrolled in Medicare PECOS, maintains a secondary practice location in Portland, and is a graduate of Oregon Health Sciences University School Of Medicine (2017).

NPPES Registry Identity

NPI1669805321
Entity TypeIndividualFemale
Primary Taxonomy2084P0804X
Provider Legal NameKIMBERLY ANNE MCKENNACredential: MD
Location Address3181 SW SAM JACKSON PARK RD, OHSUPortland, OR 97239-3011
Mailing Address3181 Sw Sam Jackson Park RdPortland, OR 97239-3011 · (034) 946-1765 · Fax (503) 494-6152
Sole ProprietorNo
Medical School CMSOregon Health Sciences University School Of MedicineGraduated 2017
Enumeration DateAugust 17, 2013
Last NPPES UpdateAugust 23, 20223 updates tracked since enumeration
NPPES CertifiedAugust 23, 2022
NPI 1669805321 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychiatry & Neurology · Child & Adolescent PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0804X
License Licensed in OR · MD194301
Definition
Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.
3181 SW SAM JACKSON PARK RD, Portland, OR 97239

Secondary Practice Location 1

Location 13403 S Corbett AvePortland, OR 97239-4621 · Phone (503) 703-4650

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 (PECOS)

Kimberly Anne Mckenna Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID840563623
PECOS Enrollment IDI20211027000796
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.

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.

Internal Medicine (Pulmonary Disease)
3181 SW SAM JACKSON PARK RD, UHN67
PORTLAND, OR 97239
Nurse Practitioner (Acute Care)
3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239
Internal Medicine
3181 SW SAM JACKSON PARK RD, PPV 350
PORTLAND, OR 97239
Psychologist (Clinical)
3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239
Massage Therapist
3181 SW SAM JACKSON PARK RD, 7D19
PORTLAND, OR 97239
Psychiatry & Neurology (Psychiatry)
3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239
Radiology (Diagnostic Radiology)
3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239
Student in an Organized Health Care Education/Training Program
3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239

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 Kimberly Mckenna's NPI number?

The NPI number for Kimberly Mckenna is 1669805321. It was assigned to this individual provider in the NPPES registry on August 17, 2013.

Where is Kimberly Mckenna located?

Kimberly Mckenna practices at 3181 SW Sam Jackson Park Rd Ohsu, Portland, OR 97239. The listed phone number is (503) 494-8220.

What is Kimberly Mckenna's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Child & Adolescent Psychiatry, with taxonomy code 2084P0804X.

Is Kimberly Mckenna enrolled in Medicare?

Yes. Kimberly Mckenna is registered in the Medicare PECOS enrollment system.

What insurance does Kimberly Mckenna accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc., PacificSource Health Plans, Providence Health Plan and Regence BlueCross BlueShield of Oregon list Kimberly 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 Kimberly Mckenna was last updated on August 23, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.