MR. KENNETH CHARLES AGNEW JR. CRNP
NPI 1013657295
Nurse Practitioner - Primary Care in Erie, PA
About Mr. Kenneth Charles Agnew Jr. Crnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. KENNETH CHARLES AGNEW JR. CRNP (NPI 1013657295) is an individual primary care provider in Erie, Pennsylvania, licensed in Pennsylvania (SP025288) and active in the NPI registry since March 2022. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mr. Kenneth Charles Agnew Jr. Crnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
5Medicare enrollment records show Kenneth Agnew reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Erie, PA 16544
- Reassigned Medicare billing, Pennsylvania enrollment
- 124 clinicians in this Medicare group
Jefferson Hills, PA 15025
- Reassigned Medicare billing, Pennsylvania enrollment
- 153 clinicians in this Medicare group
Jefferson Hills, PA 15025
- Reassigned Medicare billing, Pennsylvania enrollment
- 66 clinicians in this Medicare group
Canonsburg, PA 15317
- Reassigned Medicare billing, Pennsylvania enrollment
- 89 clinicians in this Medicare group
Dallas, TX 75244
- Reassigned Medicare billing, Pennsylvania enrollment
- 553 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 16505 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Kenneth Agnew's NPI number?
The NPI number for Kenneth Agnew is 1013657295. It was assigned to this individual provider in the NPPES registry on March 29, 2022.
Where is Kenneth Agnew located?
Kenneth Agnew practices at 5037 Crystal Dr, Erie, PA 16505. The listed phone number is (814) 218-1850.
What is Kenneth Agnew's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.
Is Kenneth Agnew enrolled in Medicare?
Yes. Kenneth Agnew is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Kenneth Agnew's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kenneth Agnew reassigns Medicare benefits to 5 organizations: Ahn Emergency Group Of Erie County Ltd. (Erie, PA), Ahn Observation Group LLC (Jefferson Hills, PA), Ahn Emergency Group Of Jefferson Ltd (Jefferson Hills, PA), Ahn Emergency Group Of Canonsburg Ltd. (Canonsburg, PA) and Signify Health Medical Associates, PLLC (Dallas, TX). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kenneth Agnew's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Kenneth Agnew was last updated on March 29, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Mr. Kenneth Charles Agnew Jr., CRNP · NPI 1013657295
Primary Care physician in Erie, Pennsylvania. Individual provider, active in the CMS NPPES registry since March 29, 2022.
## Identity
- **NPI:** 1013657295 (Entity type: Individual)
- **Enumerated:** March 29, 2022
- **Primary specialty:** Nurse Practitioner - Primary Care · taxonomy 363LP2300X
- **State license:** SP025288 (Pennsylvania)
- **Sole proprietor:** No
## Practice location
- **Address:** 5037 CRYSTAL DR, Erie, PA 16505-2913
- **Phone:** (814) 218-1850
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 5 organizations under Medicare reassignment (form CMS-855R): Ahn Emergency Group Of Erie County Ltd. (NPI 1336564798, Erie, PA); Ahn Observation Group LLC (NPI 1437814696, Jefferson Hills, PA); Ahn Emergency Group Of Jefferson Ltd (NPI 1235518499, Jefferson Hills, PA); Ahn Emergency Group Of Canonsburg Ltd. (NPI 1790100154, Canonsburg, PA); Signify Health Medical Associates, PLLC (NPI 1750845863, Dallas, TX) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 29, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1013657295) · Data from the CMS NPPES public registry.