KENNY RAY YANCEY (APRN, PMHNP-BC) – Psychiatric/Mental Health Nurse Practitioner, NPI 1831842152

KENNY RAY YANCEY (APRN, PMHNP-BC) is a healthcare provider. based in Burkesville, Kentucky. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN, PMHNP-BC. They hold a License No. 3017108 (KY). The NPI Number for KENNY RAY YANCEY (APRN, PMHNP-BC) is 1831842152

Main info

Male
5 Years Of Experience
Accepts Medicare Assignment
Name
KENNY RAY YANCEY (APRN, PMHNP-BC)
NPI
1831842152
Phone
(270) 858-6655
Address
PO BOX 1080
Enumeration Date
27 January 2022
Last Update Date
12 February 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6063769700
Graduation Year
2021 (5 years ago)
PAC ID
7719371400
Group Practice PAC ID
3678818580
Professional Enrollment ID
I20220222002757
Address ID
KY426476297ST2157X27XX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience37
Completeness75
Years active:4State licenses:1Digital endpointsOther names

7,343 NURSE PRACTITIONER in KY

Provider Addresses for KENNY RAY YANCEY (APRN, PMHNP-BC)

  • PO BOX 1080

    BURKESVILLE, KY 427171080

    Phone: (270) 858-6655

    Fax: (270) 858-4607

    Type: Mailing

  • 19 MEDICAL LOOP STE 3

    WHITLEY CITY, KY 426534382

    Phone: (606) 376-5391

    Fax: (606) 376-3326

    Type: Location

  • 896 S Highway 25 W

    Williamsburg, KY 407691691

    Phone: (606) 515-6124

    Fax: (606) 515-6163

    Type: Location

  • PO BOX 68

    STEARNS, KY 426470068

    Phone: (606) 376-9700

    Type: Mailing

  • 2157 S HIGHWAY 27

    STEARNS, KY 426476297

    Phone: (606) 376-9700

    Fax: (606) 376-9703

    Type: Location

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 $52.

Total Amount is formed as General ($52) + Research ($0) + Ownership ($0) = $52.

Last reported payment date: 2024-12-04 • Largest payer in this snapshot: ABBVIE INC. ($37).

Total Amount

$52

General + Research + Ownership

Payments

3

Total payment records

General Amount

$52

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-04

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
ABBVIE INC.$37
Indivior Inc.$15
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: 2022-02-22

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
I20220222002757INurse PractitionerKYTBD

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 42717)

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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: 3678818580View full group profile
NameSpecialtyState
Nurse PractitionerKY
Nurse PractitionerKY
Nurse PractitionerKY
Nurse PractitionerKY
Nurse PractitionerKY
Nurse PractitionerKY
Nurse PractitionerKY
Nurse PractitionerKY

Reviews

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Frequently asked questions

Can I use this page to confirm KENNY RAY YANCEY (APRN, PMHNP-BC)'s NPI?
Yes. KENNY RAY YANCEY (APRN, PMHNP-BC) is listed with NPI 1831842152 in the public NPI dataset.
Does the file indicate KENNY RAY YANCEY (APRN, PMHNP-BC) is practicing under active NPI?
Directory data currently reports KENNY RAY YANCEY (APRN, PMHNP-BC) as active.
What is KENNY RAY YANCEY (APRN, PMHNP-BC)'s specialty?
The listing groups KENNY RAY YANCEY (APRN, PMHNP-BC) with Psychiatric/Mental Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What address line appears for KENNY RAY YANCEY (APRN, PMHNP-BC)?
KENNY RAY YANCEY (APRN, PMHNP-BC)'s geographic hint is Burkesville, Kentucky in our summary view.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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