MRS. MARY ELLEN KENWORTHEY NP
NPI 1184603342
Nurse Practitioner - Obstetrics & Gynecology in Phoenix, AZ
About Mrs. Mary Ellen Kenworthey Np NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. MARY ELLEN KENWORTHEY NP (NPI 1184603342) is an individual obstetrics & gynecology provider in Phoenix, Arizona, licensed in Arizona (RN043733) and active in the NPI registry since January 2006. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mrs. Mary Ellen Kenworthey Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare enrollment records show Mary Kenworthey reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Phoenix, AZ 85008
- Reassigned Medicare billing, Arizona enrollment
- 1,490 clinicians in this Medicare group
Phoenix, AZ 85008
- Reassigned Medicare billing, Arizona enrollment
- 285 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 85016 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.
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 Mary Kenworthey's NPI number?
The NPI number for Mary Kenworthey is 1184603342. It was assigned to this individual provider in the NPPES registry on January 15, 2006. The provider is also known as Ms. Mary Ellen Merva.
Where is Mary Kenworthey located?
Mary Kenworthey practices at 2929 E Thomas Rd, Phoenix, AZ 85016. The listed phone number is (602) 470-5000.
What is Mary Kenworthey's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Obstetrics & Gynecology, with taxonomy code 363LX0001X.
Is Mary Kenworthey enrolled in Medicare?
Yes. Mary Kenworthey is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Mary Kenworthey's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Mary Kenworthey reassigns Medicare benefits to 2 organizations: District Medical Group, Inc (Phoenix, AZ) and Maricopa County Special Health Care District (Phoenix, AZ). 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 Mary Kenworthey's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Mary Kenworthey accept?
Health plans from Antidote Health Plan of Arizona, Inc., Blue Cross Blue Shield of Arizona and Imperial Insurance Companies, Inc. list Mary Kenworthey as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Mary Kenworthey was last updated on September 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.
# Mrs. Mary Ellen Kenworthey, NP · NPI 1184603342
Obstetrics & Gynecology physician in Phoenix, Arizona. Individual provider, active in the CMS NPPES registry since January 15, 2006.
## Identity
- **NPI:** 1184603342 (Entity type: Individual)
- **Enumerated:** January 15, 2006
- **Primary specialty:** Nurse Practitioner - Obstetrics & Gynecology · taxonomy 363LX0001X
- **State license:** RN043733 (Arizona)
- **Sole proprietor:** No
## Practice location
- **Address:** 2929 E THOMAS RD, Phoenix, AZ 85016-8034
- **Phone:** (602) 470-5000
## 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:** 2 organizations under Medicare reassignment (form CMS-855R): District Medical Group, Inc (NPI 1174856280, Phoenix, AZ); Maricopa County Special Health Care District (NPI 1205295581, Phoenix, AZ) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 12, 2025
- **Other identifiers:** Medicaid 760406 (AZ)
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Source: [NPI Profile](https://npiprofile.com/npi/1184603342) · Data from the CMS NPPES public registry.