KEVIN CHARLES JENSEN (PA-C) – Physician Assistant, NPI 1205203585

KEVIN CHARLES JENSEN (PA-C) is a healthcare provider. based in Reno, Nevada. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. PA1642 (NV). The NPI Number for KEVIN CHARLES JENSEN (PA-C) is 1205203585

Main info

Male
11 Years Of Experience
Accepts Medicare Assignment
Name
KEVIN CHARLES JENSEN (PA-C)
NPI
1205203585
Phone
(775) 982-5000
Address
975 RYLAND ST STE 100
Enumeration Date
21 August 2015
Last Update Date
14 May 2025

Doctor Profile

Medical School Name
UNIVERSITY OF SOUTHERN CALIFORNIA KECK SCHOOL OF MEDICINE
Secondary Phone
7759825000
Graduation Year
2015 (11 years ago)
PAC ID
1153638341
Group Practice PAC ID
0244139798
Professional Enrollment ID
I20150921002644
Address ID
NV895232905RE960XXDRXX301
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience49
Completeness75
Years active:10State licenses:1Digital endpointsOther names

1,223 PHYSICIAN ASSISTANT in NV

Provider Addresses for KEVIN CHARLES JENSEN (PA-C)

  • 975 RYLAND ST STE 100

    RENO, NV 895021669

    Phone: (775) 982-5000

    Fax: (775) 982-5225

    Type: Location

  • 850 HARVARD WAY

    RENO, NV 895022055

    Phone: (775) 982-5262

    Fax: (775) 982-5496

    Type: Mailing

  • 1155 MILL ST # MCM14

    RENO, NV 895021576

    Phone: (775) 982-5262

    Fax: (775) 982-5496

    Type: Mailing

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 $55.

Total Amount is formed as General ($55) + Research ($0) + Ownership ($0) = $55.

Last reported payment date: 2023-07-31 • Largest payer in this snapshot: ABBVIE INC. ($55).

Total Amount

$55

General + Research + Ownership

Payments

3

Total payment records

General Amount

$55

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-07-31

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
ABBVIE INC.$55
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: 2015-09-21

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
I20150921002644IPhysician AssistantNVTBD

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 minutes119114$0
99203New patient office or other outpatient visit, 30-44 minutes3737$0
81002Urinalysis, manual test3029$0
99213Established patient office or other outpatient visit, 20-29 minutes1818$0
99204New patient office or other outpatient visit, 45-59 minutes1616$0
View full utilization report →

Insurance plans in this area (ZIP 89502)

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Provider's Procedures

KEVIN CHARLES JENSEN (PA-C) performs procedures in PHYSICIAN ASSISTANT. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PHYSICIAN ASSISTANTNV81002Urinalysis, manual test6965

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: 0244139798View full group profile
NameSpecialtyState
Family Practice, Sports MedicineNV
Family PracticeNV
Family PracticeNV
Sports Medicine, Family PracticeNV
-NV
Nurse PractitionerNV
-NV
Nurse PractitionerNV
Physician AssistantNV
Nurse PractitionerNV

Reviews

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Frequently asked questions

What is the registry number for KEVIN CHARLES JENSEN (PA-C)?
The registry entry for KEVIN CHARLES JENSEN (PA-C) shows NPI 1205203585.
Is KEVIN CHARLES JENSEN (PA-C)'s NPI status active today?
Active status means KEVIN CHARLES JENSEN (PA-C)'s NPI record is not deactivated in the public file.
What type of care does KEVIN CHARLES JENSEN (PA-C) provide?
KEVIN CHARLES JENSEN (PA-C)'s profile centers on Physician Assistant. Clinical services aligned with this taxonomy classification.
Is KEVIN CHARLES JENSEN (PA-C) tied to Reno, Nevada?
If you are local to Reno, Nevada, KEVIN CHARLES JENSEN (PA-C) may be relevant to your search.
Who maintains KEVIN CHARLES JENSEN (PA-C)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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