KENDRA M BURGESS (PA-C) – Medical Physician Assistant, NPI 1609100692

KENDRA M BURGESS (PA-C) is a healthcare provider. based in Prestonsburg, Kentucky. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. PA1210 (KY). The NPI Number for KENDRA M BURGESS (PA-C) is 1609100692

Main info

Female
Sole Proprietor
17 Years Of Experience
Accepts Medicare Assignment
Name
KENDRA M BURGESS (PA-C)
NPI
1609100692
Phone
(606) 886-8511
Address
5000 KY ROUTE 321
Enumeration Date
24 September 2009
Last Update Date
14 June 2022

Doctor Profile

Medical School Name
UNIVERSITY OF KENTUCKY COLLEGE OF MEDICINE
Secondary Phone
6068863831
Graduation Year
2009 (17 years ago)
PAC ID
7315186525
Group Practice PAC ID
0840107835
Professional Enrollment ID
I20130619000589
Address ID
KY416530000PR4851X321X400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience56
Completeness75
Years active:16State licenses:1Digital endpointsOther names

1,728 PHYSICIAN ASSISTANT in KY

Provider Addresses for KENDRA M BURGESS (PA-C)

  • 5000 KY ROUTE 321

    PRESTONSBURG, KY 416539113

    Phone: (606) 886-8511

    Fax: (606) 886-1316

    Type: Mailing

  • 400, University Drive, Cliff, Prestonsburg, Floyd County, Kentucky, 41653, United States

    SUITE 101-A

    PRESTONSBURG, KY 416531080

    Phone: (606) 886-3831

    Fax: (606) 886-3440

    Type: Location

  • Prestonsburg Post Office, 119, Franklin Corner, Prestonsburg, Floyd County, Kentucky, 41653, United States

    PRESTONSBURG, KY 416535810

    Phone: (606) 886-3831

    Fax: (606) 886-3440

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 64 Open Payments records for all available years, with a total value of $1,095.

Total Amount is formed as General ($1,095) + Research ($0) + Ownership ($0) = $1,095.

Last reported payment date: 2024-12-09 • Largest payer in this snapshot: ABBVIE INC. ($162).

Total Amount

$1,095

General + Research + Ownership

Payments

64

Total payment records

General Amount

$1,095

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-09

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: 2013-06-19

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
I20130619000589IPhysician AssistantKYTBD

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 41653)

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Provider's Procedures

KENDRA M BURGESS (PA-C) performs procedures in PHYSICIAN ASSISTANT. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PHYSICIAN ASSISTANTKY83036Hemoglobin A1C level6756

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: 0840107835View full group profile
NameSpecialtyState
-WV
General SurgeryMN
Physician AssistantWV
-KY
Diagnostic RadiologyWV
Interventional CardiologyMD
Cardiovascular Disease (Cardiology), Cardiac ElectrophysiologyOH
Endocrinology, Internal MedicineNY
Orthopedic SurgeryMS
Nurse PractitionerKY

Reviews

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Frequently asked questions

How do payers reference KENDRA M BURGESS (PA-C)?
For KENDRA M BURGESS (PA-C), use NPI 1609100692 as the unique 10-digit identifier.
Is there an active status for KENDRA M BURGESS (PA-C)?
For scheduling context, KENDRA M BURGESS (PA-C) is shown as active in the registry.
What area of care is associated with KENDRA M BURGESS (PA-C)?
KENDRA M BURGESS (PA-C)'s record emphasizes Medical Physician Assistant. Clinical services aligned with this taxonomy classification.
Is KENDRA M BURGESS (PA-C) located near Prestonsburg?
KENDRA M BURGESS (PA-C) currently maps to Prestonsburg, Kentucky in this extract.
Can I trust this NPI listing for KENDRA M BURGESS (PA-C)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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