MR. PATRICK CORNELIUS KEARNEY (PA) – Physician Assistant, NPI 1801868005

MR. PATRICK CORNELIUS KEARNEY (PA) is a healthcare provider. based in Williston, Vermont. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA. They hold a License No. 055-0030829 (VT). The NPI Number for MR. PATRICK CORNELIUS KEARNEY (PA) is 1801868005

Main info

Male
21 Years Of Experience
Accepts Medicare Assignment
Name
MR. PATRICK CORNELIUS KEARNEY (PA)
NPI
1801868005
Phone
(802) 878-1008
Address
28 PARK AVE
Enumeration Date
2 February 2006
Last Update Date
25 November 2014

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8028781008
Graduation Year
2005 (21 years ago)
PAC ID
1355359902
Group Practice PAC ID
1153402888
Professional Enrollment ID
I20060323000704
Address ID
VT054954449WI426XXAVEX301
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience58
Completeness75
Years active:20State licenses:2Digital endpointsOther names

385 PHYSICIAN ASSISTANT in VT

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Provider Addresses for MR. PATRICK CORNELIUS KEARNEY (PA)

  • 28, Park Avenue, Williston Park, North Hempstead, Nassau County, New York, 11596, United States

    PRIMARY CARE

    WILLISTON, VT 054959701

    Phone: (802) 878-1008

    Fax: (802) 872-2679

    Mailing address matches the actual address.

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: 2006-03-23

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
I20060323000704IPhysician AssistantVTTBD

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 minutes202118$0
36415Insertion of needle into vein for collection of blood sample11386$0
80061Blood test, lipids (cholesterol and triglycerides)8074$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit7373$0
G0444Annual depression screening, 5 to 15 minutes7373$0
View full utilization report →

Insurance plans in this area (ZIP 05495)

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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: 1153402888View full group profile
NameSpecialtyState
Family PracticeVT
Physician AssistantVT
Nurse PractitionerVT
Family Practice, Sports MedicineVT
Family PracticeVT
Family PracticeVT
-VT
Family PracticeVT
Physician AssistantVT
-VT

Reviews

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Frequently asked questions

Where can patients find MR. PATRICK CORNELIUS KEARNEY (PA)'s NPI?
You can confirm MR. PATRICK CORNELIUS KEARNEY (PA) with NPI 1801868005; it appears in the national provider directory.
Is MR. PATRICK CORNELIUS KEARNEY (PA)'s NPI currently valid?
The extract we use shows MR. PATRICK CORNELIUS KEARNEY (PA) as active.
What does MR. PATRICK CORNELIUS KEARNEY (PA) treat or focus on?
Patients typically see MR. PATRICK CORNELIUS KEARNEY (PA) under the specialty Physician Assistant. Clinical services aligned with this taxonomy classification.
Where is MR. PATRICK CORNELIUS KEARNEY (PA)'s primary listing?
We display Williston, Vermont because that is what the record indicates for MR. PATRICK CORNELIUS KEARNEY (PA).
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.