MASON ALEXANDER KENNON MD
NPI 1285247056
Student in an Organized Health Care Education/Training Program in Aurora, CO

Q: 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.

Q: 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.

Q: 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.

Active since August 31, 2020PECOS Enrolled

791 CHAMBERS RD, AURORA, CO 80011(303) 617-2300 Get Directions Write a Review

NPPES record last updated: June 26, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 26, 2024, Apr 24, 2024, Aug 31, 2020 (3 updates tracked since 2020).

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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 and is a graduate of University Of Oklahoma College Of Medicine (2022).

NPPES Registry Identity

NPI1285247056

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameMASON ALEXANDER KENNONCredential: MD

Location Address791 CHAMBERS RDAurora, CO 80011-7112

Mailing Address700 Potomac St Fl 2Aurora, CO 80011-6846 · (303) 695-2600

Phone(303) 617-2300

Sole ProprietorNo

Medical School CMSUniversity Of Oklahoma College Of MedicineGraduated 2022

Enumeration DateAugust 31, 2020

Last NPPES UpdateJune 26, 20243 updates tracked since enumeration

NPPES CertifiedJune 26, 2024

✔ NPI 1285247056 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X · License TL0009377 (CO)

791 CHAMBERS RD, Aurora, CO 80011

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mason Alexander Kennon Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID547724171

PECOS Enrollment IDI20260714003748

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.

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.

RASHINA SHAMBE

Nurse Practitioner (Psychiatric/Mental Health)