REGAN LANE KENDREGAN (PA) – Family Medicine Physician, NPI 1356488621

REGAN LANE KENDREGAN (PA) is a healthcare provider. based in Kankakee, Illinois. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA. They hold a License No. 085001523 (IL). The NPI Number for REGAN LANE KENDREGAN (PA) is 1356488621

Main info

Female
29 Years Of Experience
Name
REGAN LANE KENDREGAN (PA)
NPI
1356488621
Phone
(815) 932-5725
Address
400 N WALL ST
Enumeration Date
30 January 2007
Last Update Date
12 November 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
1997 (29 years ago)
PAC ID
4183818404
Professional Enrollment ID
I20101101000774
Address ID
IL609012965KA400XXSTXX406
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience67
Completeness85
Years active:19State licenses:1Digital endpointsOther names

5,035 PHYSICIAN ASSISTANT in IL

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Provider Addresses for REGAN LANE KENDREGAN (PA)

  • North Wall Street, Kankakee, Kankakee County, Illinois, 60901, United States

    STE 510

    KANKAKEE, IL 609012940

    Phone: (815) 932-5725

    Fax: (915) 932-5872

    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 62 Open Payments records for all available years, with a total value of $1,318.

Total Amount is formed as General ($1,318) + Research ($0) + Ownership ($0) = $1,318.

Last reported payment date: 2024-12-13 • Largest payer in this snapshot: Boehringer Ingelheim Pharmaceuticals, Inc. ($306).

Total Amount

$1,318

General + Research + Ownership

Payments

62

Total payment records

General Amount

$1,318

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-13

Latest reported date

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: 2010-11-01

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
I20101101000774IPhysician AssistantILTBD

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
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit9696$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes8541$0
G0444Annual depression screening, 5 to 15 minutes7878$0
99213Established patient office or other outpatient visit, 20-29 minutes4544$0
99214Established patient office or other outpatient visit, 30-39 minutes4340$0
View full utilization report →

Insurance plans in this area (ZIP 60901)

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Reviews

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Frequently asked questions

How do I look up REGAN LANE KENDREGAN (PA) by NPI?
Use NPI 1356488621 when you need to reference REGAN LANE KENDREGAN (PA) in forms, claims, or directories.
Is REGAN LANE KENDREGAN (PA)'s NPI currently valid?
The extract we use shows REGAN LANE KENDREGAN (PA) as active.
What kind of provider is REGAN LANE KENDREGAN (PA)?
The page reflects Family Medicine Physician for REGAN LANE KENDREGAN (PA). Clinical services aligned with this taxonomy classification.
What location shows for REGAN LANE KENDREGAN (PA)?
We surface Kankakee, Illinois for REGAN LANE KENDREGAN (PA) based on available NPPES addresses.
Is REGAN LANE KENDREGAN (PA) a real provider?
This page reflects official NPPES data for NPI 1356488621. Always confirm identity and privileges with the practice and licensing boards.

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