DONNA MARIE KENTLEY (PA) – Physician Assistant, NPI 1356495907

DONNA MARIE KENTLEY (PA) is a healthcare provider. based in Southbridge, Massachusetts. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA. They hold a License No. PA5624 (MA). The NPI Number for DONNA MARIE KENTLEY (PA) is 1356495907

Main info

Female
31 Years Of Experience
Accepts Medicare Assignment
Name
DONNA MARIE KENTLEY (PA)
NPI
1356495907
Phone
(508) 909-7799
Address
PO BOX 40
Enumeration Date
22 January 2007
Last Update Date
21 November 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5087659771
Graduation Year
1995 (31 years ago)
PAC ID
6507812856
Group Practice PAC ID
4284539891
Professional Enrollment ID
I20161019001785
Address ID
MA015504051SO100XXSTXX300
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

5,091 PHYSICIAN ASSISTANT in MA

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Provider Addresses for DONNA MARIE KENTLEY (PA)

  • 40, Ocean View Place, Rakaia Huts, Selwyn District, Canterbury, New Zealand

    SOUTHBRIDGE, MA 015500040

    Phone: (508) 909-7799

    Fax: (508) 764-2432

    Type: Mailing

  • PO BOX 415348

    BOSTON, MA 022415348

    Phone: (800) 225-8885

    Fax: (508) 764-2432

    Type: Mailing

  • 55, Sayles Street, Globe Village, Southbridge, Worcester County, Massachusetts, 01550, United States

    SOUTHBRIDGE, MA 015501729

    Phone: (508) 764-2400

    Fax: (508) 909-7770

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 53 Open Payments records for all available years, with a total value of $1,340.

Total Amount is formed as General ($1,340) + Research ($0) + Ownership ($0) = $1,340.

Last reported payment date: 2024-12-20 • Largest payer in this snapshot: E.R. Squibb & Sons, L.L.C. ($178).

Total Amount

$1,340

General + Research + Ownership

Payments

53

Total payment records

General Amount

$1,340

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-20

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: 2016-10-19

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
I20161019001785IPhysician AssistantMATBD

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
99214Established patient office or other outpatient visit, 30-39 minutes395256$0
99215Established patient office or other outpatient visit, 40-54 minutes6660$0
99205New patient office or other outpatient visit, 60-74 minutes1616$0
99213Established patient office or other outpatient visit, 20-29 minutes1616$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes1212$0
View full utilization report →

Insurance plans in this area (ZIP 01550)

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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: 4284539891View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)MA
-MA
-MA
Family PracticeMA
Physician AssistantMA
Pulmonary Disease, Critical Care (Intensivists), Allergy/ImmunologyMA
-MA
-MA
Internal MedicineMA
Nurse PractitionerMA

Reviews

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Frequently asked questions

What is the standard ID for DONNA MARIE KENTLEY (PA) in the U.S.?
In the U.S., DONNA MARIE KENTLEY (PA) is identified by NPI 1356495907.
Is DONNA MARIE KENTLEY (PA)'s NPI status active today?
Active status means DONNA MARIE KENTLEY (PA)'s NPI record is not deactivated in the public file.
How should patients interpret DONNA MARIE KENTLEY (PA)'s specialty?
The extract shows Physician Assistant for DONNA MARIE KENTLEY (PA). Clinical services aligned with this taxonomy classification.
What geographic area is tied to DONNA MARIE KENTLEY (PA)?
DONNA MARIE KENTLEY (PA) is associated with Southbridge, Massachusetts in the same public data insurers reference.
Why is information missing for DONNA MARIE KENTLEY (PA)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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