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ROSE J KENNY M.D.
NPI 1194975037
Family Medicine in Redmond, OR

Active since September 29, 2008PECOS Enrolled
1001 NW CANAL BLVD STE 101, REDMOND, OR 97756(541) 548-8088(541) 548-8018 Get Directions Write a Review

NPPES record last updated: March 17, 2018. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 17, 2018, Jan 17, 2018 (2 updates tracked since 2018).

About Rose J Kenny M.d. NPPES

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

ROSE J KENNY M.D. (NPI 1194975037) is an individual family medicine provider in Redmond, Oregon, licensed in Oregon (MD23253) and active in the NPI registry since September 2008. She is enrolled in Medicare PECOS and maintains a secondary practice location in Redmond.

NPPES Registry Identity

NPI1194975037
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameROSE J KENNYCredential: M.D.
Location Address1001 NW CANAL BLVD STE 101Redmond, OR 97756-1697
Mailing Address1001 Nw Canal Blvd Ste 101Redmond, OR 97756-1697 · (541) 548-8088 · Fax (541) 548-8018
Phone(541) 548-8088
Fax(541) 548-8018
Sole ProprietorYes
Enumeration DateSeptember 29, 2008
Last NPPES UpdateMarch 17, 20182 updates tracked since enumeration
✔ NPI 1194975037 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in OR · MD23253
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1001 NW CANAL BLVD STE 101, Redmond, OR 97756
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Secondary Practice Location 1

Location 11001 NW Canal Blvd Ste 101Redmond, OR 97756-1697 · Phone (541) 548-8088 · Fax (541) 548-8018

Other Identifiers 1

Medicaid228793OR

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Rose J Kenny M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignment

Medicare enrollment records show Rose Kenny reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Impact Physician Group, LLC
2,091 mi
Internal Medicine
21 EASTBROOK BND STE 218
Peachtree City, GA 30269
  • Reassigned Medicare billing, Oregon enrollment
  • 16 clinicians in this Medicare group
NPI 1114428612 (678) 967-5599

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 97756 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
$84.82 typical visit price
range $54.96 – $166.64
Typical copayment $21.20 (range $13.74 – $41.66)
Most-billed visit code 99203
Established Patient
$97.16 typical visit price
range $17.68 – $136.19
Typical copayment $24.29 (range $4.42 – $34.04)
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

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

FAMILY CARE CENTER PC
Family Medicine
1001 NW CANAL BLVD STE 101
REDMOND, OR 97756
Deschutes County (541) 548-8088

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 Rose Kenny's NPI number?

The NPI number for Rose Kenny is 1194975037. It was assigned to this individual provider in the NPPES registry on September 29, 2008.

Where is Rose Kenny located?

Rose Kenny practices at 1001 NW Canal Blvd Ste 101, Redmond, OR 97756. The listed phone number is (541) 548-8088.

What is Rose Kenny's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Rose Kenny enrolled in Medicare?

Yes. Rose Kenny is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Rose Kenny's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Rose Kenny reassigns Medicare benefits to Impact Physician Group, LLC (Peachtree City, GA). The 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 Rose Kenny'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 Rose Kenny was last updated on March 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.