MR. KENYON JAY SOLECKI (MS, PA-C) – Physician Assistant, NPI 1417476029
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,876 PHYSICIAN ASSISTANT in OR
Provider Addresses for MR. KENYON JAY SOLECKI (MS, PA-C)
2120 Exchange St Ste 111
Astoria, OR 971033366
Phone: (503) 325-0333
Fax: (503) 325-6333
Type: Location
335 SE 8th Ave
Hillsboro, OR 971234246
Phone: (503) 681-1050
Fax: (503) 681-1939
Type: Location
PO BOX 5187
PORTLAND, OR 972085187
Phone: (503) 494-8417
Type: Mailing
111, Exchange Street, Doughboy, Astoria, Clatsop County, Oregon, 97103, United States
ASTORIA, OR 971033366
Phone: (503) 325-0333
Type: Mailing
1200 NE 48TH AVE STE 1100
HILLSBORO, OR 971245062
Phone: (503) 844-8219
Fax: (503) 844-8234
Type: Location
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: 2017-11-06
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20171106001496 | I | Physician Assistant | OR | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 81002 | Urinalysis, manual test | 14 | 13 | $0 |
Insurance plans in this area (ZIP 97103)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Internal Medicine, Sleep Medicine | NC | |
| P A T H O L O G Y | OR | |
| Nurse Practitioner | OR | |
| Internal Medicine | NY | |
| Family Practice | OR | |
| Internal Medicine | NJ | |
| Emergency Medicine | CA | |
| Cardiovascular Disease (Cardiology) | OR | |
| Diagnostic Radiology | OR | |
| O B S T E T R I C S/ G Y N E C O L O G Y | OR |
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