MASON ALEXANDER KENNON MD
NPI 1285247056
Student in an Organized Health Care Education/Training Program in Aurora, CO
About Mason Alexander Kennon Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MASON ALEXANDER KENNON MD (NPI 1285247056) is an individual student in an organized health care education/training program in Aurora, Colorado and active in the NPI registry since August 2020. He is enrolled in Medicare PECOS, maintains a secondary practice location in Aurora, and is a graduate of University Of Oklahoma College Of Medicine (2022).
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mason Alexander Kennon Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Mason Kennon reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Dillon, CO 80435
- Reassigned Medicare billing, Colorado enrollment
- 45 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.
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.
AURORA, CO 80011
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 Mason Kennon's NPI number?
The NPI number for Mason Kennon is 1285247056. It was assigned to this individual provider in the NPPES registry on August 31, 2020.
Where is Mason Kennon located?
Mason Kennon practices at 791 Chambers Rd, Aurora, CO 80011. The listed phone number is (303) 617-2300.
What is Mason Kennon's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
Is Mason Kennon enrolled in Medicare?
Yes. Mason Kennon is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Mason Kennon's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Mason Kennon reassigns Medicare benefits to Eagle Valley Mental Health (Dillon, CO). 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 Mason Kennon'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 Mason Kennon was last updated on June 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Mason Alexander Kennon, MD · NPI 1285247056
Student in an Organized Health Care Education/Training Program provider in Aurora, Colorado. Individual provider, active in the CMS NPPES registry since August 31, 2020.
## Identity
- **NPI:** 1285247056 (Entity type: Individual)
- **Enumerated:** August 31, 2020
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** No
## Practice location
- **Address:** 791 CHAMBERS RD, Aurora, CO 80011-7112
- **Phone:** (303) 617-2300
## 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:** Eagle Valley Mental Health (NPI 1043057136, Dillon, CO), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Oklahoma College Of Medicine, class of 2022
## Record status
- **NPPES last updated:** June 26, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1285247056) · Data from the CMS NPPES public registry.