Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. KENERA COLLEY DO
NPI 1194468801
Family Medicine - Sports Medicine in Arlington, TX

Q: What is Kenera Colley's NPI number?

The NPI number for Kenera Colley is 1194468801. It was assigned to this individual provider in the NPPES registry on April 20, 2022.

Q: What is Kenera Colley's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Sports Medicine, with taxonomy code 207QS0010X.

Q: When was this NPI record last updated?

The NPPES record for Kenera Colley was last updated on October 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 26 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.

Active since April 20, 2022PECOS EnrolledAccepts Medicare Assignment

4401 PARK SPRINGS BLVD STE 130, ARLINGTON, TX 76017(817) 960-9120(817) 466-7289 Get Directions Write a Review

NPPES record last updated: October 8, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 8, 2026, Aug 6, 2026, Jul 7, 2026 and 2 more (5 updates tracked since 2022).

On this page

About Dr. Kenera Colley Do NPPES

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

DR. KENERA COLLEY DO (NPI 1194468801) is an individual sports medicine provider in Arlington, Texas, licensed in Texas (W8144) and active in the NPI registry since April 2022. She is enrolled in Medicare PECOS, is affiliated with Henry Ford Health Hospital, and maintains 4 additional practice locations.

NPPES Registry Identity

NPI1194468801

Entity TypeIndividualFemale

Primary Taxonomy207QS0010X

Provider Legal NameDR. KENERA COLLEYCredential: DO

Location Address4401 PARK SPRINGS BLVD STE 130Arlington, TX 76017-1935

Mailing Address955 Powell Ave SwRenton, WA 98057-2908 · (425) 277-1311 · Fax (425) 277-1566

Phone(817) 960-9120

Fax(817) 466-7289

Sole ProprietorNo

Medical School CMSOtherGraduated 2022

Enumeration DateApril 20, 2022

Last NPPES UpdateOctober 8, 20265 updates tracked since enumeration

NPPES CertifiedOctober 8, 2026

✔ NPI 1194468801 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily Medicine · Sports MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207QS0010X

Licenses✔ Licensed in TX · W8144✔ Licensed in MI · 5101028735

Definition

A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation.

Also ListedFamily MedicineTaxonomy 207Q00000X · License OP70154489 (WA), 5101028735 (MI)

4401 PARK SPRINGS BLVD STE 130, Arlington, TX 76017

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Secondary Practice Locations 4

Location 13370 E Jefferson AveDetroit, MI 48207-4236 · Phone (313) 656-1600

Location 2200 S 2nd StRenton, WA 98057-2011 · Phone (425) 277-1311 · Fax (425) 277-1566

Location 3600 Elizabeth St # 9BCorpus Christi, TX 78404-2235 · Phone (972) 822-8023

Location 42606 Hospital Blvd Ste BCorpus Christi, TX 78405-1804 · Phone (361) 902-4789

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Premera Blue Cross Blue Shield of Alaska and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Kenera Colley Do 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 ID6103330725

PECOS Enrollment IDI20250707003628, I20260721004923

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.

Medicare Billing Reassignments

Medicare enrollment records show Kenera Colley reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Henry Ford Health System

1,020 mi

Pediatrics

2799 W GRAND BLVD
Detroit, MI 48202

Reassigned Medicare billing, Michigan enrollment
1,886 clinicians in this Medicare group

NPI 1003990318 (313) 916-2600

Healthpoint

1,657 mi

Federally Qualified Health Center (FQHC)

126 AUBURN AVE, SUITE 300
Auburn, WA 98002

Reassigned Medicare billing, Washington enrollment
403 clinicians in this Medicare group

NPI 1730186966 (253) 735-0166

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare

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

Henry Ford Health Hospital

Acute Care Hospitals · Detroit, MI

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number230053

Location2799 W Grand BlvdDetroit, MI 48202 · Wayne County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 76017 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

$87.20 typical visit price

range $56.47 – $171.07

Typical copayment $21.80 (range $14.11 – $42.76)

Most-billed visit code 99203

Established Patient

$99.68 typical visit price

range $18.18 – $139.68

Typical copayment $24.92 (range $4.54 – $34.92)

Most-billed visit code 99214

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 7

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

TREBRISA THOMAS ATC

Specialist/Technologist (Athletic Trainer)