KELSEA KENNEY (PA-C) – Surgical Physician Assistant, NPI 1003460700
Surgical Physician Assistant
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Profile Insights
NPPES metrics only — not quality of care.
9,738 PHYSICIAN ASSISTANT in PA
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Provider Addresses for KELSEA KENNEY (PA-C)
225, South Henderson Road, Henderson Park, King of Prussia, Upper Merion Township, Montgomery County, Pennsylvania, 19406, United States
KING OF PRUSSIA, PA 194063530
Phone: (484) 808-5220
Fax: (484) 679-1821
Type: Mailing
1950 NW MYHRE RD FL 3
SILVERDALE, WA 983837662
Phone: (564) 240-4200
Fax: (564) 240-4299
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 12 Open Payments records for all available years, with a total value of $373.
Total Amount is formed as General ($373) + Research ($0) + Ownership ($0) = $373.
Last reported payment date: 2024-12-16 • Largest payer in this snapshot: Penumbra, Inc. ($126).
Total Amount
$373
General + Research + Ownership
Payments
12
Total payment records
General Amount
$373
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-16
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Penumbra, Inc. | $126 |
| Bolton Medical Inc | $121 |
| Medtronic, Inc. | $67 |
| Silk Road Medical, Inc. | $42 |
| Shockwave Medical, Inc | $18 |
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: 2022-07-26
PECOS data refreshed: 2026-06-15
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 |
|---|---|---|---|---|
| I20220726003047 | I | Physician Assistant | WA | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 103 | 99 | $0 |
| 99441 | Telephone medical discussion with physician, 5-10 minutes | 14 | 14 | $0 |
Insurance plans in this area (ZIP 19406)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | SC | |
| Physician Assistant | WA | |
| Physician Assistant | WA | |
| - | WA | |
| - | WA | |
| Nurse Practitioner | WA | |
| - | WI | |
| - | WA | |
| - | WA | |
| Physician Assistant | WA |
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