KENNETH JAMES JR. JENKINS (PA-C) – Physician Assistant, NPI 1982171914

KENNETH JAMES JR. JENKINS (PA-C) is a healthcare provider. based in Wichita falls, Texas. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. PA13030 (TX). The NPI Number for KENNETH JAMES JR. JENKINS (PA-C) is 1982171914

Main info

Male
Sole Proprietor
7 Years Of Experience
Accepts Medicare Assignment
Name
KENNETH JAMES JR. JENKINS (PA-C)
NPI
1982171914
Phone
(940) 766-6306
Address
200 Martin Luther King Blvd
Enumeration Date
29 October 2018
Last Update Date
9 November 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9402343000
Graduation Year
2019 (7 years ago)
PAC ID
8325470388
Group Practice PAC ID
3072853910
Professional Enrollment ID
I20191112002488
Address ID
TX763082170WI3808XBLVD301
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience38
Completeness75
Years active:7State licenses:1Digital endpointsOther names

8,491 PHYSICIAN ASSISTANT in TX

Provider Addresses for KENNETH JAMES JR. JENKINS (PA-C)

  • 200 Martin Luther King Blvd

    Wichita Falls, TX 763011152

    Phone: (940) 766-6306

    Type: Location

  • 11th Street, Wichita Falls, Wichita County, Texas, 76301, United States

    WICHITA FALLS, TX 763014332

    Phone: (940) 687-5000

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 25 Open Payments records for all available years, with a total value of $2,183.

Total Amount is formed as General ($2,183) + Research ($0) + Ownership ($0) = $2,183.

Last reported payment date: 2024-04-16 • Largest payer in this snapshot: Medtronic, Inc. ($1,187).

Total Amount

$2,183

General + Research + Ownership

Payments

25

Total payment records

General Amount

$2,183

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-04-16

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Medtronic, Inc.$1,187
SI-BONE, INC.$996
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: 2019-11-12

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
I20191112002488IPhysician AssistantTXTBD

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
22853Insertion of cage or mesh device to spine bone and disc space during spine fusion7043$0
22551Fusion of upper spine bone with removal of disc and release of spinal cord or nerve, 1 disc3331$0
22845Placement of stabilizing device to front, 2-3 spine bone segments2424$0
22614Fusion of additional segment of spine2311$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes2121$0
View full utilization report →

Insurance plans in this area (ZIP 76301)

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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: 3072853910View full group profile
NameSpecialtyState
Nurse PractitionerTX
Nurse PractitionerTX
N E U R O S U R G E R YTX
Physician AssistantAL
N E U R O S U R G E R YTX
-TX
N E U R O S U R G E R YCO
-TX

Reviews

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Frequently asked questions

Is KENNETH JAMES JR. JENKINS (PA-C) listed with a National Provider Identifier?
Yes — KENNETH JAMES JR. JENKINS (PA-C) has NPI 1982171914 on file in the registry.
Active or inactive — what applies to KENNETH JAMES JR. JENKINS (PA-C)?
You should see KENNETH JAMES JR. JENKINS (PA-C) as active in CMS-hosted NPPES data.
What expertise is attributed to KENNETH JAMES JR. JENKINS (PA-C)?
KENNETH JAMES JR. JENKINS (PA-C)'s specialty line reads Physician Assistant. Clinical services aligned with this taxonomy classification.
Is KENNETH JAMES JR. JENKINS (PA-C) associated with Wichita Falls?
Public fields place KENNETH JAMES JR. JENKINS (PA-C) around Wichita Falls, Texas. Always confirm the exact site before visiting.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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