KENZIE RENEE GRIFFIN – Medical Physician Assistant, NPI 1689349474

KENZIE RENEE GRIFFIN is a healthcare provider. based in West burlington, Iowa. specializing in PHYSICIAN ASSISTANT. The NPI Number for KENZIE RENEE GRIFFIN is 1689349474

Main info

Female
Sole Proprietor
4 Years Of Experience
Accepts Medicare Assignment
Name
KENZIE RENEE GRIFFIN
NPI
1689349474
Phone
Not provided
Address
1221 S GEAR AVE
Enumeration Date
12 August 2021
Last Update Date
24 October 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3197682750
Graduation Year
2022 (4 years ago)
PAC ID
1153793716
Group Practice PAC ID
3870496417
Professional Enrollment ID
I20230207002704
Address ID
IA526551693WE1223XAVEX402
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:4State licenses:0Digital endpointsOther names

1,649 PHYSICIAN ASSISTANT in IA

Provider Addresses for KENZIE RENEE GRIFFIN

  • 1221 S GEAR AVE

    WEST BURLINGTON, IA 526551679

    Phone:

    Type: Mailing

  • 109 E LINCOLN ST

    WINFIELD, IA 526599594

    Phone:

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $265.

Total Amount is formed as General ($265) + Research ($0) + Ownership ($0) = $265.

Last reported payment date: 2023-12-06 • Largest payer in this snapshot: Astellas Pharma US Inc ($188).

Total Amount

$265

General + Research + Ownership

Payments

3

Total payment records

General Amount

$265

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-12-06

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: 2023-02-07

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
I20230207002704IPhysician AssistantIATBD

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
99213Established patient office or other outpatient visit, 20-29 minutes3023$0
G0101Cervical or vaginal cancer screening; pelvic and clinical breast examination2525$0
99214Established patient office or other outpatient visit, 30-39 minutes1313$0
View full utilization report →

Insurance plans in this area (ZIP 52655)

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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: 3870496417View full group profile
NameSpecialtyState
P S Y C H I A T R YIA
P S Y C H I A T R YIA
Certified Registered Nurse Anesthetist (Crna)IA
Nurse PractitionerIA
Family PracticeIA
H O S P I T A L I S TMI
General SurgeryMI
Certified Registered Nurse Anesthetist (Crna)IA
Certified Registered Nurse Anesthetist (Crna)IA
Nurse PractitionerIA

Reviews

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Frequently asked questions

What number should I use to identify KENZIE RENEE GRIFFIN for billing?
Administrative and clinical systems typically use NPI 1689349474 for KENZIE RENEE GRIFFIN.
Is KENZIE RENEE GRIFFIN's NPI status active today?
Active status means KENZIE RENEE GRIFFIN's NPI record is not deactivated in the public file.
How should patients interpret KENZIE RENEE GRIFFIN's specialty?
The extract shows Medical Physician Assistant for KENZIE RENEE GRIFFIN. Clinical services aligned with this taxonomy classification.
What city is tied to KENZIE RENEE GRIFFIN?
The directory associates KENZIE RENEE GRIFFIN with West Burlington, Iowa. Check all listed addresses for suites or satellite offices.
Why is information missing for KENZIE RENEE GRIFFIN?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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