KENDA J PARKER (NP-C) – Nurse Practitioner, NPI 1093073025

KENDA J PARKER (NP-C) is a healthcare provider. based in Alma, Michigan. specializing in NURSE PRACTITIONER. They hold the professional credentials NP-C. They hold a License No. 4704175268 (MI). The NPI Number for KENDA J PARKER (NP-C) is 1093073025

Main info

Female
Sole Proprietor
15 Years Of Experience
Accepts Medicare Assignment
Name
KENDA J PARKER (NP-C)
NPI
1093073025
Phone
(855) 289-5353
Address
200 E WARWICK DR
Enumeration Date
27 April 2012
Last Update Date
27 April 2012

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9898376505
Graduation Year
2011 (15 years ago)
PAC ID
0042461592
Group Practice PAC ID
3072684638
Professional Enrollment ID
I20121110000228
Address ID
MI486402739MI415XXSTXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience42
Completeness75
Years active:14State licenses:1Digital endpointsOther names

8,106 NURSE PRACTITIONER in MI

Provider Addresses for KENDA J PARKER (NP-C)

  • 200 E WARWICK DR

    ALMA, MI 488011012

    Phone: (855) 289-5353

    Fax: (989) 633-0349

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2012-11-10

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
I20121110000228INurse PractitionerMITBD

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 minutes336227$0
99443Telephone medical discussion with physician, 21-30 minutes3936$0
90962Dialysis services, 1 physician visit per month (20 years or older)1716$0
View full utilization report →

Insurance plans in this area (ZIP 48801)

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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: 3072684638View full group profile
NameSpecialtyState
N E P H R O L O G YMI
Nurse PractitionerMI

Reviews

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Frequently asked questions

What unique ID ties claims to KENDA J PARKER (NP-C)?
NPI 1093073025 is assigned to KENDA J PARKER (NP-C) under the national enumeration system.
Is KENDA J PARKER (NP-C)'s NPI currently valid?
The extract we use shows KENDA J PARKER (NP-C) as active.
What field does KENDA J PARKER (NP-C) work in?
You can think of KENDA J PARKER (NP-C) as practicing within Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Does KENDA J PARKER (NP-C) practice in Michigan?
You will see Alma, Michigan on file for KENDA J PARKER (NP-C) alongside any extra practice locations.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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