KENDRA RYAN PIMENTA (PA-C) – Physician Assistant, NPI 1164916904

KENDRA RYAN PIMENTA (PA-C) is a healthcare provider. based in Middletown, Rhode Island. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. The NPI Number for KENDRA RYAN PIMENTA (PA-C) is 1164916904

Main info

Female
8 Years Of Experience
Accepts Medicare Assignment
Name
KENDRA RYAN PIMENTA (PA-C)
NPI
1164916904
Phone
(401) 846-0055
Address
99 E MAIN RD STE 19A
Enumeration Date
15 June 2018
Last Update Date
29 October 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2018 (8 years ago)
PAC ID
6800144783
Group Practice PAC ID
0345658316
Professional Enrollment ID
I20180809000613
Address ID
RI029141430EA900XXAVEX300
Telehealth
Yes

Contacts

Secure Messaging
kpimenta172102@direct.lifespan.org
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience29
Completeness95
Years active:7State licenses:0Other names

774 PHYSICIAN ASSISTANT in RI

Provider Addresses for KENDRA RYAN PIMENTA (PA-C)

  • 99 E MAIN RD STE 19A

    MIDDLETOWN, RI 028424957

    Phone: (401) 846-0055

    Fax: (401) 842-0963

    Type: Mailing

  • 850, Aquidneck Avenue, Paradise Mobile Home Park, Middletown, Newport County, Rhode Island, 02842, United States

    MIDDLETOWN, RI 028427280

    Phone: (401) 846-0055

    Fax: (401) 842-0963

    Type: Mailing

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: 2018-08-09

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
I20180809000613IPhysician AssistantRITBD

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 minutes186106$0
99213Established patient office or other outpatient visit, 20-29 minutes12094$0
87428Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza2020$0
93000Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report1414$0
View full utilization report →

Insurance plans in this area (ZIP 02842)

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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: 0345658316View full group profile
NameSpecialtyState
Nurse PractitionerRI
Internal MedicineRI
Physician AssistantRI
Physician AssistantRI
Nurse PractitionerRI
Physician AssistantRI
Physician AssistantRI
Family PracticeRI
Nurse PractitionerRI
Nurse PractitionerRI

Reviews

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Frequently asked questions

How is KENDRA RYAN PIMENTA (PA-C) identified in CMS data?
CMS-hosted NPPES data lists KENDRA RYAN PIMENTA (PA-C) with NPI 1164916904.
Is KENDRA RYAN PIMENTA (PA-C) still practicing?
KENDRA RYAN PIMENTA (PA-C) is currently listed as active in the public NPI registry.
What taxonomy line describes KENDRA RYAN PIMENTA (PA-C)?
For research purposes, treat KENDRA RYAN PIMENTA (PA-C) as Physician Assistant in this dataset. Clinical services aligned with this taxonomy classification.
Where is KENDRA RYAN PIMENTA (PA-C) based?
KENDRA RYAN PIMENTA (PA-C) is tied to Middletown, Rhode Island in the data we show; additional addresses may exist on the full record.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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