KENDELL DWAYNE VARNER (PHYSICIAN ASSISTANT) – Physician Assistant, NPI 1205305307

KENDELL DWAYNE VARNER (PHYSICIAN ASSISTANT) is a healthcare provider. based in Clay center, Kansas. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PHYSICIAN ASSISTANT. They hold a License No. 15-02169 (KS). The NPI Number for KENDELL DWAYNE VARNER (PHYSICIAN ASSISTANT) is 1205305307

Main info

Male
9 Years Of Experience
Accepts Medicare Assignment
Name
KENDELL DWAYNE VARNER (PHYSICIAN ASSISTANT)
NPI
1205305307
Phone
(479) 936-1700
Address
1190 THUNDER RD
Enumeration Date
19 November 2018
Last Update Date
6 February 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2017 (9 years ago)
PAC ID
1153666995
Group Practice PAC ID
8325959331
Professional Enrollment ID
I20240918004397
Address ID
KS676631632PL1210XSTXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience47
Completeness75
Years active:7State licenses:2Digital endpointsOther names

627 PHYSICIAN ASSISTANT in AR

Provider Addresses for KENDELL DWAYNE VARNER (PHYSICIAN ASSISTANT)

  • 1190, Thunder Road, Clay County, Kansas, 67432, United States

    CLAY CENTER, KS 674327452

    Phone: (479) 936-1700

    Type: Mailing

  • 5501 W Pinnacle Pointe Dr

    Rogers, AR 727588131

    Phone: (479) 268-6404

    Type: Location

  • 1753 10TH RD

    CLAY CENTER, KS 674327241

    Phone: (479) 936-1700

    Type: Mailing

  • Clay County Medical Center, 617, Liberty Street, Clay Center, Clay County, Kansas, 67432, United States

    CLAY CENTER, KS 674321564

    Phone: (785) 632-2144

    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 $33.

Total Amount is formed as General ($33) + Research ($0) + Ownership ($0) = $33.

Last reported payment date: 2024-04-17 • Largest payer in this snapshot: Acella Pharmaceuticals, LLC ($33).

Total Amount

$33

General + Research + Ownership

Payments

2

Total payment records

General Amount

$33

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-04-17

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: 2024-09-18

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
I20181221002103IPhysician AssistantKSTBD
I20240918004397IPhysician AssistantARTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 67432)

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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: 8325959331View full group profile
NameSpecialtyState
Nurse PractitionerKS
Family PracticeKS
Family PracticeKS
Physician AssistantKS
Internal MedicineOH
Family PracticeKS
Physician AssistantKS
Family PracticeKS
-KS
Nurse PractitionerKS

Reviews

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Frequently asked questions

Where can patients find KENDELL DWAYNE VARNER (PHYSICIAN ASSISTANT)'s NPI?
You can confirm KENDELL DWAYNE VARNER (PHYSICIAN ASSISTANT) with NPI 1205305307; it appears in the national provider directory.
Does this profile mean KENDELL DWAYNE VARNER (PHYSICIAN ASSISTANT) is currently active?
Yes — KENDELL DWAYNE VARNER (PHYSICIAN ASSISTANT) appears active in the national provider directory.
Does KENDELL DWAYNE VARNER (PHYSICIAN ASSISTANT) list a primary specialty?
If you are matching referrals, note Physician Assistant for KENDELL DWAYNE VARNER (PHYSICIAN ASSISTANT). Clinical services aligned with this taxonomy classification.
Where is KENDELL DWAYNE VARNER (PHYSICIAN ASSISTANT)'s primary listing?
We display Clay Center, Kansas because that is what the record indicates for KENDELL DWAYNE VARNER (PHYSICIAN ASSISTANT).
How can I contact KENDELL DWAYNE VARNER (PHYSICIAN ASSISTANT)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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