ANNA KENYON NP
NPI 1164353710
Nurse Practitioner - Pediatrics in Santa Rosa, CA
About Anna Kenyon Np NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ANNA KENYON NP (NPI 1164353710) is an individual pediatrics provider in Santa Rosa, California, licensed in California (95041392) and active in the NPI registry since May 2026. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Anna Kenyon Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 95403 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
SANTA ROSA, CA 95403
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 Anna Kenyon's NPI number?
The NPI number for Anna Kenyon is 1164353710. It was assigned to this individual provider in the NPPES registry on May 25, 2026.
Where is Anna Kenyon located?
Anna Kenyon practices at 3569 Round Barn Cir, Santa Rosa, CA 95403. The listed phone number is (707) 303-3600.
What is Anna Kenyon's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.
Is Anna Kenyon enrolled in Medicare?
Yes. Anna Kenyon is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Anna Kenyon was last updated on September 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 55 days 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.
# Anna Kenyon, NP · NPI 1164353710
Pediatrics physician in Santa Rosa, California. Individual provider, active in the CMS NPPES registry since May 25, 2026.
## Identity
- **NPI:** 1164353710 (Entity type: Individual)
- **Enumerated:** May 25, 2026
- **Primary specialty:** Nurse Practitioner - Pediatrics · taxonomy 363LP0200X
- **State license:** 95041392 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 3569 ROUND BARN CIR, Santa Rosa, CA 95403-5781
- **Phone:** (707) 303-3600
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** September 17, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1164353710) · Data from the CMS NPPES public registry.