TANESSA ANN KENNY PA-C
NPI 1134915689
Physician Assistant in Honolulu, HI

Q: What is Tanessa Kenny's NPI number?

The NPI number for Tanessa Kenny is 1134915689. It was assigned to this individual provider in the NPPES registry on April 18, 2025.

Q: What is Tanessa Kenny's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Tanessa Kenny was last updated on April 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.

Active since April 18, 2025PECOS EnrolledAccepts Medicare Assignment

1401 S BERETANIA ST STE 102, HONOLULU, HI 96814(808) 356-5698 Get Directions Write a Review

NPPES record last updated: April 18, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Tanessa Ann Kenny Pa-c NPPES

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

TANESSA ANN KENNY PA-C (NPI 1134915689) is an individual physician assistant in Honolulu, Hawaii, licensed in Hawaii (AMD-1450-0) and active in the NPI registry since April 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1134915689

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameTANESSA ANN KENNYCredential: PA-C

Location Address1401 S BERETANIA ST STE 102Honolulu, HI 96814-1871

Mailing Address3732 Kilauea Ave Apt BHonolulu, HI 96816-4427 · (660) 473-6190

Phone(808) 356-5698

Sole ProprietorNo

Medical School CMSOtherGraduated 2024

Enumeration DateApril 18, 2025

NPPES CertifiedApril 18, 2025

✔ NPI 1134915689 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in HI · AMD-1450-0

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

1401 S BERETANIA ST STE 102, Honolulu, HI 96814

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HMSA.Insurance ›

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

Tanessa Ann Kenny Pa-c 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 ID6507383908

PECOS Enrollment IDI20250508002966

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 96814 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$92.50 typical visit price

range $60.53 – $180.05

Typical copayment $23.12 (range $15.13 – $45.01)

Most-billed visit code 99203

Established Patient

$74.92 typical visit price

range $20.09 – $147.56

Typical copayment $18.73 (range $5.02 – $36.89)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 11

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

SHAYLEE JO CAULKINS PA-C

Physician Assistant