MCKENNA HEISEN OTR/L
NPI 1932860392
Occupational Therapist - Pediatrics in Gardena, CA
About Mckenna Heisen Otr/l NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MCKENNA HEISEN OTR/L (NPI 1932860392) is an individual pediatrics provider in Gardena, California, licensed in California (22660) and active in the NPI registry since January 2022.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mckenna Heisen Otr/l is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Mckenna Heisen reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Hawthorne, CA 90250
- Reassigned Medicare billing, California enrollment
- 13,921 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 5
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
GARDENA, CA 90248
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 Mckenna Heisen's NPI number?
The NPI number for Mckenna Heisen is 1932860392. It was assigned to this individual provider in the NPPES registry on January 6, 2022.
Where is Mckenna Heisen located?
Mckenna Heisen practices at 18333 S Main St, Gardena, CA 90248. The listed phone number is (310) 337-7115.
What is Mckenna Heisen's specialty?
The primary specialty registered for this NPI is Occupational Therapist, specializing in Pediatrics, with taxonomy code 225XP0200X.
Is Mckenna Heisen enrolled in Medicare?
Yes. Mckenna Heisen is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Mckenna Heisen's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Mckenna Heisen reassigns Medicare benefits to Southern California Permanente Medical Group (Hawthorne, CA). The 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 Mckenna Heisen'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 Mckenna Heisen was last updated on October 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.