KENDALL MARIA MULVANEY – Physician Assistant, NPI 1124796537
Physician Assistant
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
4,166 PHYSICIAN ASSISTANT in CO
Provider Addresses for KENDALL MARIA MULVANEY
PO BOX 172328
DENVER, CO 802172328
Phone: (800) 962-3303
Fax: (305) 929-0777
Type: Mailing
501 E HAMPDEN AVE
ENGLEWOOD, CO 801132702
Phone: (303) 788-5000
Type: Location
501 E Hampden Ave
Englewood, CO 801132702
Phone: (303) 788-5000
Type: Location
660 Bannock St Ste 1057
Denver, CO 802044506
Phone: (303) 739-1211
Fax: (303) 602-4560
Type: Location
777 BANNOCK ST
DENVER, CO 802044597
Phone: (303) 739-1211
Fax: (303) 602-4560
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2023-04-14
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20230414000795 | I | Physician Assistant | CO | TBD |
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.
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 80217)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | CO | |
| Physician Assistant | CO | |
| Physician Assistant | RI | |
| Physician Assistant | CO | |
| Diagnostic Radiology | CO | |
| Physician Assistant | CO | |
| Physician Assistant | CO | |
| Family Practice | CO | |
| Physician Assistant | CO | |
| Physician Assistant | MI |
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