MR. KENNETH WAYNE FARRELL (P.A.-C) – Physician Assistant, NPI 1235240557

MR. KENNETH WAYNE FARRELL (P.A.-C) is a healthcare provider. based in Loveland, Colorado. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials P.A.-C. They hold a License No. PA16558 (CA). The NPI Number for MR. KENNETH WAYNE FARRELL (P.A.-C) is 1235240557

Main info

Male
25 Years Of Experience
Accepts Medicare Assignment
Name
MR. KENNETH WAYNE FARRELL (P.A.-C)
NPI
1235240557
Phone
(970) 624-4439
Address
2695 ROCKY MOUNTAIN AVE STE 150
Enumeration Date
31 August 2006
Last Update Date
20 November 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3036597600
Graduation Year
2001 (25 years ago)
PAC ID
0840206397
Group Practice PAC ID
4789688854
Professional Enrollment ID
I20110912000263
Address ID
CO806013551BR2801XSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

10,570 PHYSICIAN ASSISTANT in CA

Provider Addresses for MR. KENNETH WAYNE FARRELL (P.A.-C)

  • 2695 ROCKY MOUNTAIN AVE STE 150

    LOVELAND, CO 805389071

    Phone: (970) 624-4439

    Type: Mailing

  • 38780 TRADE CENTER DR STE 1C

    PALMDALE, CA 935513641

    Phone: (661) 947-5600

    Fax: (661) 947-5900

    Type: Mailing

  • 38780 Trade Center Dr Ste 1C

    Palmdale, CA 935513641

    Phone: (661) 947-5600

    Fax: (661) 947-5900

    Type: Location

  • 7007, Lancaster Road, Villa Nova, Lochearn, Baltimore County, Maryland, 21207, United States

    LANCASTER, CA 935397007

    Phone: (661) 948-5086

    Fax: (661) 942-2328

    Type: Mailing

  • 43723, 20th Street West, Lancaster, Los Angeles County, California, 93534, United States

    SUITE 101

    LANCASTER, CA 935344784

    Phone: (661) 948-5086

    Fax: (661) 942-2328

    Type: Location

  • 5881 W 16TH ST STE A

    GREELEY, CO 806342910

    Phone: (970) 652-2454

    Fax: (970) 652-2447

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 5 Open Payments records for all available years, with a total value of $116.

Total Amount is formed as General ($116) + Research ($0) + Ownership ($0) = $116.

Last reported payment date: 2023-07-12 • Largest payer in this snapshot: Lilly USA, LLC ($32).

Total Amount

$116

General + Research + Ownership

Payments

5

Total payment records

General Amount

$116

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-07-12

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2011-09-12

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20060221000840IPhysician AssistantCATBD
I20110912000263IPhysician AssistantCOTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes9866$0
99213Established patient office or other outpatient visit, 20-29 minutes3332$0
View full utilization report →

Insurance plans in this area (ZIP 80538)

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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: 4789688854View full group profile
NameSpecialtyState
Nurse PractitionerCO
Nurse PractitionerCO
Physician AssistantIL
Nurse PractitionerCO
Physician AssistantCO
Nurse PractitionerCO
Physician AssistantCO

Reviews

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Frequently asked questions

Can I verify MR. KENNETH WAYNE FARRELL (P.A.-C) with an NPI only?
You can start verification with NPI 1235240557 for MR. KENNETH WAYNE FARRELL (P.A.-C), then check state licensing separately.
Is MR. KENNETH WAYNE FARRELL (P.A.-C) still practicing?
MR. KENNETH WAYNE FARRELL (P.A.-C) is currently listed as active in the public NPI registry.
What is MR. KENNETH WAYNE FARRELL (P.A.-C)'s primary classification?
Physician Assistant is the headline specialty for MR. KENNETH WAYNE FARRELL (P.A.-C) here. Clinical services aligned with this taxonomy classification.
Where is MR. KENNETH WAYNE FARRELL (P.A.-C) based?
MR. KENNETH WAYNE FARRELL (P.A.-C) is tied to Loveland, Colorado in the data we show; additional addresses may exist on the full record.
Is the information about MR. KENNETH WAYNE FARRELL (P.A.-C) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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