MARY M KENYON CNP
NPI 1366824963
Nurse Practitioner - Family in Fort Sumner, NM
About Mary M Kenyon Cnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MARY M KENYON CNP (NPI 1366824963) is an individual family provider in Fort Sumner, New Mexico, licensed in New Mexico (CNP-02696) and active in the NPI registry since June 2015. She is enrolled in Medicare PECOS, is affiliated with Plains Regional Medical Center, and is a graduate of Other (2015).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
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
Mary M Kenyon Cnp 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.
Medicare Billing Reassignments
2Medicare enrollment records show Mary Kenyon reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Fort Sumner, NM 88119
- Reassigned Medicare billing, New Mexico enrollment
Santa Rosa, NM 88435
- Reassigned Medicare billing, New Mexico enrollment
- 31 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.
Areas of Expertise CMS Part B claims 10
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Plains Regional Medical Center
Acute Care Hospitals · Clovis, NMPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 88119 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Referred Medical Equipment & Supplies CMS DME claims 3
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
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 Kenyon's NPI number?
The NPI number for Mary Kenyon is 1366824963. It was assigned to this individual provider in the NPPES registry on June 19, 2015.
Where is Mary Kenyon located?
Mary Kenyon practices at Cross Heart Care 848 N 4th St., Fort Sumner, NM 88119. The listed phone number is (575) 355-2273.
What is Mary Kenyon's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Mary Kenyon enrolled in Medicare?
Yes. Mary Kenyon is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Mary Kenyon's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Mary Kenyon reassigns Medicare benefits to 2 organizations: Cross Heart Care LLC (Fort Sumner, NM) and Guadalupe County (Santa Rosa, NM). 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 Kenyon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Mary Kenyon affiliated with any hospitals?
According to CMS data, Mary Kenyon is affiliated with Plains Regional Medical Center.
When was this NPI record last updated?
The NPPES record for Mary Kenyon was last updated on November 11, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Mary M Kenyon, CNP · NPI 1366824963
Family physician in Fort Sumner, New Mexico. Individual provider, active in the CMS NPPES registry since June 19, 2015.
## Identity
- **NPI:** 1366824963 (Entity type: Individual)
- **Enumerated:** June 19, 2015
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** CNP-02696 (New Mexico)
- **Sole proprietor:** Yes
## Practice location
- **Address:** CROSS HEART CARE, 848 N 4TH ST., Fort Sumner, NM 88119
- **Phone:** (575) 355-2273
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **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): Cross Heart Care LLC (NPI 1790453561, Fort Sumner, NM); Guadalupe County (NPI 1346249968, Santa Rosa, NM) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2015
## Record status
- **NPPES last updated:** November 11, 2021
- **Other identifiers:** Medicaid 80784275 (NM)
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Source: [NPI Profile](https://npiprofile.com/npi/1366824963) · Data from the CMS NPPES public registry.