KENDRA PAYNE (FNP-BC) – Primary Care Nurse Practitioner, NPI 1407442882

KENDRA PAYNE (FNP-BC) is a healthcare provider. based in Castle rock, Colorado. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP-BC. They hold a License No. APN.0996105-NP (CO). The NPI Number for KENDRA PAYNE (FNP-BC) is 1407442882

Main info

Female
6 Years Of Experience
Accepts Medicare Assignment
Name
KENDRA PAYNE (FNP-BC)
NPI
1407442882
Phone
(719) 250-4189
Address
5354 HIGH PLAINS PL
Enumeration Date
18 December 2020
Last Update Date
18 December 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7206688818
Graduation Year
2020 (6 years ago)
PAC ID
6002284486
Group Practice PAC ID
5496180374
Professional Enrollment ID
I20221115003066
Address ID
CO801242566LO8080XDRXX401
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness75
Years active:5State licenses:1Digital endpointsOther names

5,201 NURSE PRACTITIONER in CO

Provider Addresses for KENDRA PAYNE (FNP-BC)

  • 5354 HIGH PLAINS PL

    CASTLE ROCK, CO 801045232

    Phone: (719) 250-4189

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 16 Open Payments records for all available years, with a total value of $22,143.

Total Amount is formed as General ($22,143) + Research ($0) + Ownership ($0) = $22,143.

Last reported payment date: 2024-12-31 • Largest payer in this snapshot: AngioDynamics, Inc. ($21,813).

Total Amount

$22,143

General + Research + Ownership

Payments

16

Total payment records

General Amount

$22,143

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-31

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: 2022-11-15

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
I20221115003066INurse PractitionerCOTBD

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
99442Telephone medical discussion with physician, 11-20 minutes1414$0
View full utilization report →

Insurance plans in this area (ZIP 80104)

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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: 5496180374View full group profile
NameSpecialtyState
Nurse PractitionerTN
Nurse PractitionerCO
Interventional RadiologyCO

Reviews

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Frequently asked questions

What is the registry number for KENDRA PAYNE (FNP-BC)?
The registry entry for KENDRA PAYNE (FNP-BC) shows NPI 1407442882.
Is KENDRA PAYNE (FNP-BC) currently accepting referrals based on NPI status?
Registry metadata lists KENDRA PAYNE (FNP-BC) as active.
What type of care does KENDRA PAYNE (FNP-BC) provide?
KENDRA PAYNE (FNP-BC)'s profile centers on Primary Care Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Which community is linked to KENDRA PAYNE (FNP-BC)?
KENDRA PAYNE (FNP-BC) shows a connection to Castle Rock, Colorado in registry-derived data.
Can I export KENDRA PAYNE (FNP-BC)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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