MATTHEW M KENICK (PAC) – Physician Assistant, NPI 1922051614
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for MATTHEW M KENICK (PAC)
1608 SE 3RD AVE FL 3
FORT LAUDERDALE, FL 333162564
Phone: (954) 355-4665
Fax: (954) 355-4881
Type: Mailing
1625 SE 3RD AVE STE 300
FORT LAUDERDALE, FL 333162521
Phone: (954) 355-4665
Fax: (954) 355-4881
Type: Location
1625 SE 3rd Ave Ste 355
Fort Lauderdale, FL 333162521
Phone: (954) 355-5001
Fax: (954) 355-4881
Type: Location
1700, Northwest 49th Street, Fort Lauderdale, Broward County, Florida, 33309, United States
SUITE 125
FORT LAUDERDALE, FL 333093763
Phone: (954) 355-4665
Type: Mailing
1625, Southeast 3rd Avenue, Fort Lauderdale, Broward County, Florida, 33316, United States
THIRD FLOOR
FORT LAUDERDALE, FL 33316
Phone: (954) 355-4665
Fax: (954) 355-4881
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 2 Open Payments records for all available years, with a total value of $122.
Total Amount is formed as General ($122) + Research ($0) + Ownership ($0) = $122.
Last reported payment date: 2024-08-05 • Largest payer in this snapshot: ATRICURE, INC. ($122).
Total Amount
$122
General + Research + Ownership
Payments
2
Total payment records
General Amount
$122
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-08-05
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ATRICURE, INC. | $122 |
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: 2010-09-27
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 |
|---|---|---|---|---|
| I20100927000475 | I | Physician Assistant | FL | 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 33316)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | FL | |
| - | FL | |
| Internal Medicine | FL | |
| - | FL | |
| N E U R O L O G Y | FL | |
| Critical Care (Intensivists) | FL | |
| Nurse Practitioner | FL | |
| Hand Surgery | FL | |
| Family Practice | FL | |
| Cardiovascular Disease (Cardiology), Internal Medicine | FL |
Reviews
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