KENDALL PIERONI (PA-C) – Physician Assistant, NPI 1417612136

KENDALL PIERONI (PA-C) is a healthcare provider. based in Madison heights, Michigan. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 5601010822 (MI). The NPI Number for KENDALL PIERONI (PA-C) is 1417612136

Main info

Female
5 Years Of Experience
Accepts Medicare Assignment
Name
KENDALL PIERONI (PA-C)
NPI
1417612136
Phone
(248) 268-4296
Address
PO BOX 71587
Enumeration Date
8 November 2021
Last Update Date
15 April 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2482684296
Graduation Year
2021 (5 years ago)
PAC ID
4284024878
Group Practice PAC ID
6305140880
Professional Enrollment ID
I20211215000107
Address ID
MI482201043FE928XXRDXX500
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

6,066 PHYSICIAN ASSISTANT in MI

Provider Addresses for KENDALL PIERONI (PA-C)

  • PO BOX 71587

    MADISON HEIGHTS, MI 480710587

    Phone: (248) 268-4296

    Fax: (888) 850-3877

    Type: Mailing

  • 928 E 10 MILE RD STE 400

    FERNDALE, MI 482203041

    Phone: (248) 268-4296

    Fax: (888) 850-3877

    Type: Location

  • 2250 KEITH RD

    WEST BLOOMFIELD, MI 483243641

    Phone: (248) 660-5156

    Type: Mailing

  • 37000 GRAND RIVER AVE STE 310

    FARMINGTON HILLS, MI 483352868

    Phone: (248) 536-2127

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $23.

Total Amount is formed as General ($23) + Research ($0) + Ownership ($0) = $23.

Last reported payment date: 2024-04-18 • Largest payer in this snapshot: Medtronic, Inc. ($23).

Total Amount

$23

General + Research + Ownership

Payments

1

Total payment records

General Amount

$23

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-04-18

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Medtronic, Inc.$23
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: 2021-12-15

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
I20211215000107IPhysician AssistantMITBD

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
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only4846$0
View full utilization report →

Insurance plans in this area (ZIP 48071)

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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: 6305140880View full group profile
NameSpecialtyState
Nurse PractitionerMI
Vascular SurgeryMI

Reviews

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Frequently asked questions

What is the registry number for KENDALL PIERONI (PA-C)?
The registry entry for KENDALL PIERONI (PA-C) shows NPI 1417612136.
Is KENDALL PIERONI (PA-C) currently accepting referrals based on NPI status?
Registry metadata lists KENDALL PIERONI (PA-C) as active.
What services align with KENDALL PIERONI (PA-C)'s listing?
KENDALL PIERONI (PA-C)'s public classification highlights Physician Assistant. Clinical services aligned with this taxonomy classification.
What geographic area is tied to KENDALL PIERONI (PA-C)?
KENDALL PIERONI (PA-C) is associated with Madison Heights, Michigan in the same public data insurers reference.
Why is information missing for KENDALL PIERONI (PA-C)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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