TERRY D KINNEY (PA-C) – Physician Assistant, NPI 1194869883

TERRY D KINNEY (PA-C) is a healthcare provider. based in Renton, Washington. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. PA60316881 (WA). The NPI Number for TERRY D KINNEY (PA-C) is 1194869883

Main info

Male
20 Years Of Experience
Accepts Medicare Assignment
Name
TERRY D KINNEY (PA-C)
NPI
1194869883
Phone
(206) 823-1004
Address
707 S GRADY WAY
Enumeration Date
16 February 2007
Last Update Date
22 July 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2535895334
Graduation Year
2006 (20 years ago)
PAC ID
6507962354
Group Practice PAC ID
5698804409
Professional Enrollment ID
I20140210001083
Address ID
WA984987212LA9601XSWXX401
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience71
Completeness75
Years active:19State licenses:2Digital endpointsOther names

10,564 PHYSICIAN ASSISTANT in CA

Provider Addresses for TERRY D KINNEY (PA-C)

  • 707 S GRADY WAY

    STE 600

    RENTON, WA 980573227

    Phone: (206) 823-1004

    Fax: (206) 309-3319

    Type: Mailing

  • 645 ANTELOPE BLVD

    SUITE # 24

    RED BLUFF, CA 96019

    Phone: (530) 528-7650

    Fax: (530) 528-7655

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 60 Open Payments records for all available years, with a total value of $1,299.

Total Amount is formed as General ($1,299) + Research ($0) + Ownership ($0) = $1,299.

Last reported payment date: 2024-12-16 • Largest payer in this snapshot: Janssen Pharmaceuticals, Inc ($474).

Total Amount

$1,299

General + Research + Ownership

Payments

60

Total payment records

General Amount

$1,299

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

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: 2014-02-10

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
I20140210001083IPhysician AssistantWATBD

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
99308Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes23529$0
View full utilization report →

Insurance plans in this area (ZIP 98057)

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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: 5698804409View full group profile
NameSpecialtyState
Nurse PractitionerWA
Nurse PractitionerWA
Nurse PractitionerWA
Nurse PractitionerWA
Nurse PractitionerWA
-VA
-WA
Nurse PractitionerWA
Nurse PractitionerWA
Nurse PractitionerOH

Reviews

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Frequently asked questions

Is TERRY D KINNEY (PA-C) listed with a National Provider Identifier?
Yes — TERRY D KINNEY (PA-C) has NPI 1194869883 on file in the registry.
Is TERRY D KINNEY (PA-C) still an active registrant?
TERRY D KINNEY (PA-C) carries an active NPI according to the public dataset.
What expertise is attributed to TERRY D KINNEY (PA-C)?
TERRY D KINNEY (PA-C)'s specialty line reads Physician Assistant. Clinical services aligned with this taxonomy classification.
Is TERRY D KINNEY (PA-C) located near Renton?
TERRY D KINNEY (PA-C) currently maps to Renton, Washington in this extract.
When was this NPI issued?
Enumeration for TERRY D KINNEY (PA-C) is noted as February 16, 2007 where the registry provides it.

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