MARY KATHERINE KENNEY PA
NPI 1003299082
Physician Assistant - Medical in Decatur, IL

Q: What is Mary Katherine Kenney's NPI number?

The NPI number for Mary Katherine Kenney is 1003299082. It was assigned to this individual provider in the NPPES registry on July 8, 2015.

Q: What is Mary Katherine Kenney's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Active since July 08, 2015PECOS EnrolledAccepts Medicare Assignment

1800 E LAKE SHORE DR, DECATUR, IL 62521(217) 464-2966 Get Directions Write a Review

NPPES record last updated: December 13, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 13, 2023, Feb 8, 2017 (2 updates tracked since 2017).

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About Mary Katherine Kenney Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARY KATHERINE KENNEY PA (NPI 1003299082) is an individual medical provider in Decatur, Illinois, licensed in Illinois (085005526) and active in the NPI registry since July 2015. She is enrolled in Medicare PECOS, is affiliated with St Marys Hospital, and maintains a secondary practice location in Decatur.

NPPES Registry Identity

NPI1003299082

Entity TypeIndividualFemale

Primary Taxonomy363AM0700X

Provider Legal NameMARY KATHERINE KENNEYCredential: PA

Location Address1800 E LAKE SHORE DRDecatur, IL 62521-3810

Mailing Address3131 N Water StDecatur, IL 62526-2472 · (217) 876-5320 · Fax (217) 876-5865

Phone(217) 464-2966

Sole ProprietorNo

Medical School CMSOtherGraduated 2015

Enumeration DateJuly 8, 2015

Last NPPES UpdateDecember 13, 20232 updates tracked since enumeration

NPPES CertifiedDecember 13, 2023

✔ NPI 1003299082 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

License✔ Licensed in IL · 085005526

1800 E LAKE SHORE DR, Decatur, IL 62521

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Secondary Practice Location 1

Location 13131 N Water StDecatur, IL 62526-2472 · Phone (217) 876-5320

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mary Katherine Kenney Pa is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7517276652

PECOS Enrollment IDI20151012002208

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 6

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Emergency department visit with high level of medical decision making 99285

An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.

163 services154 patients

Emergency department visit with moderate level of medical decision making 99284

An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.

95 services93 patients

Critical care, first 30-74 minutes 99291

Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.

29 services29 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010

A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.

25 services24 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

16 services16 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

12 services12 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

St Marys Hospital

Acute Care Hospitals · Decatur, IL

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number140166

Location1800 E Lake Shore DrDecatur, IL 62521 · Macon County

Emergency services Birthing friendly

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. MICHAEL CHOI MD

Pathology (Anatomic Pathology & Clinical Pathology)