KURT W KENOYER (PA-C) – Physician Assistant, NPI 1396780979
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for KURT W KENOYER (PA-C)
Muckleshoot Wellness Center, 17500, Southeast 392nd Street, Auburn, King County, Washington, 98092, United States
AUBURN, WA 980929705
Phone: (253) 939-6648
Type: Location
605, Southeast Prospect Street, Chehalis, Lewis County, Washington, 98532, United States
CHEHALIS, WA 985324308
Phone: (360) 740-8549
Fax: (866) 874-1175
Type: Mailing
6926 NE FOURTH PLAIN BLVD
VANCOUVER, WA 986617254
Phone: (360) 993-3000
Type: Location
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: 2017-04-11
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20050118000219 | I | Physician Assistant | WA | TBD |
| I20170411000230 | I | Physician Assistant | TX | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 98092)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | WA | |
| Physical Therapist In Private Practice | WA | |
| Internal Medicine | WA | |
| - | VA | |
| - | WA | |
| Family Practice | WA | |
| Family Practice | WA | |
| - | WA | |
| Plastic And Reconstructive Surgery, Otolaryngology | WA | |
| Osteopathic Manipulative Medicine, Family Practice | WA |
Reviews
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