MRS. KENDI ELISE KIRBY (PA-C) – Physician Assistant, NPI 1265762066

MRS. KENDI ELISE KIRBY (PA-C) is a healthcare provider. based in Brewton, Alabama. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. PA676 (AL). The NPI Number for MRS. KENDI ELISE KIRBY (PA-C) is 1265762066

Main info

Female
17 Years Of Experience
Accepts Medicare Assignment
Name
MRS. KENDI ELISE KIRBY (PA-C)
NPI
1265762066
Phone
(251) 809-3240
Address
1121 BELLEVILLE AVE
Enumeration Date
30 December 2009
Last Update Date
17 January 2014

Doctor Profile

Medical School Name
UNIVERSITY OF SOUTH ALABAMA COLLEGE OF MEDICINE
Secondary Phone
-
Graduation Year
2009 (17 years ago)
PAC ID
6204151046
Group Practice PAC ID
9830188085
Professional Enrollment ID
I20150219000347
Address ID
AL365025025AT5811XRDXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience46
Completeness75
Years active:16State licenses:1Digital endpointsOther names

1,201 PHYSICIAN ASSISTANT in AL

Loading map...

Provider Addresses for MRS. KENDI ELISE KIRBY (PA-C)

  • 1121, Belleville Avenue, Brewton, Escambia County, Alabama, 36426, United States

    BREWTON, AL 364261500

    Phone: (251) 809-3240

    Fax: (251) 809-6051

    Type: Location

  • East Oak Street, Southern Estates, Atmore, Escambia County, Alabama, 36502, United States

    ATMORE, AL 365023617

    Phone: (251) 229-0565

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $25.

Total Amount is formed as General ($25) + Research ($0) + Ownership ($0) = $25.

Last reported payment date: 2023-03-02 • Largest payer in this snapshot: Novo Nordisk Inc ($25).

Total Amount

$25

General + Research + Ownership

Payments

1

Total payment records

General Amount

$25

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-03-02

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Novo Nordisk Inc$25
View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2015-02-19

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20150219000347IPhysician AssistantTXTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 36426)

Loading plans...

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9830188085View full group profile
NameSpecialtyState
Occupational Therapist In Private PracticeFL
Physical Therapist In Private PracticeAL
Qualified Speech Language PathologistAL
Nurse PractitionerFL
General Practice, Family PracticeFL
-AL
Physical Therapist In Private PracticeAL
-AL
-AL
Family PracticeAL

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

Where can patients find MRS. KENDI ELISE KIRBY (PA-C)'s NPI?
You can confirm MRS. KENDI ELISE KIRBY (PA-C) with NPI 1265762066; it appears in the national provider directory.
Is MRS. KENDI ELISE KIRBY (PA-C) active in the national directory?
MRS. KENDI ELISE KIRBY (PA-C)'s public NPI profile is in an active state.
What does MRS. KENDI ELISE KIRBY (PA-C) treat or focus on?
Patients typically see MRS. KENDI ELISE KIRBY (PA-C) under the specialty Physician Assistant. Clinical services aligned with this taxonomy classification.
What location metadata exists for MRS. KENDI ELISE KIRBY (PA-C)?
The page summarizes Brewton, Alabama for MRS. KENDI ELISE KIRBY (PA-C); expand the address list for detail.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

Similar Providers

MRS. CRYSTLE DANIELA JONES (PA-C)

Pediatric Nurse Practitioner
1205 Belleville Ave
NPI: 1396149530

MALLORY TOBON (PA-C)

Physician Assistant
10719 Eastern Shore Blvd
NPI: 1073062782

TAYLOR BURNS (PA-C)

Physician Assistant
78 HAMILTON ST
NPI: 1346016912