KIMBERLY KENEHAN PA-C
NPI 1457635278
Physician Assistant - Medical in Wilkes Barre, PA

Active since September 29, 2011PECOS EnrolledAccepts Medicare Assignment
84.08/100
CMS Quality Rating
150 MUNDY ST, MAC IV BUILDING, WILKES BARRE, PA 18702(570) 824-0930(570) 824-7755 Get Directions Write a Review

NPPES record last updated: January 13, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kimberly Kenehan Pa-c NPPES

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

KIMBERLY KENEHAN PA-C (NPI 1457635278) is an individual medical provider in Wilkes Barre, Pennsylvania, licensed in Pennsylvania (MA055239) and active in the NPI registry since September 2011. She is enrolled in Medicare PECOS and is a graduate of Other (2011).

NPPES Registry Identity

NPI1457635278
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameKIMBERLY KENEHANCredential: PA-C
Location Address150 MUNDY ST, MAC IV BUILDINGWilkes Barre, PA 18702-6830
Mailing Address150 Mundy St, Mac Iv BuildingWilkes Barre, PA 18702-6830 · (570) 824-0930 · Fax (570) 824-7755
Fax(570) 824-7755
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateSeptember 29, 2011
Last NPPES UpdateJanuary 13, 2015
NPI 1457635278 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in PA · MA055239
150 MUNDY ST, Wilkes Barre, PA 18702

Other Names 1

Former Name (1)Kimberly Peron

Other Identifiers 2

Other50104798PA · Capital Blue Cross
Medicare PIN229961J67PA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Kimberly Kenehan Pa-c 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 ID4385818962
PECOS Enrollment IDI20111116000566
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.

Areas of Expertise CMS Part B claims 14

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.

Destruction of precancer skin growth, 2-14 growths 17003
This procedure involves removing 2-14 precancerous skin growths. The growths are treated to prevent them from potentially developing into skin cancer. The process is safe, with minimal discomfort, and promotes healthier skin.
1,642 services293 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
919 services750 patients
Destruction of precancer skin growth, 1 growth 17000
"Destruction of precancer skin growth" is a procedure that eliminates a single precancerous skin growth. This is done to prevent it from developing into skin cancer. The growth may be removed using various methods such as cryotherapy (freezing), laser therapy, or topical medications.
532 services409 patients
Biopsy of related skin growth, first growth 11102
A biopsy of a skin growth involves taking a small sample of the growth to examine it under a microscope. This helps determine if the growth is harmful. The procedure is typically quick, with minimal discomfort. It's a crucial step in ensuring your skin's health.
460 services385 patients
Destruction of skin growth, 1-14 growths 17110
"Destruction of skin growth" refers to a procedure where 1-14 abnormal skin growths are removed. This is done using methods such as freezing, burning, or laser therapy. It helps prevent the growth from causing discomfort or turning into a more serious condition.
434 services344 patients
Biopsy of related skin growth, each additional growth 11103
A biopsy of related skin growth is a procedure where a small piece of skin growth is removed for testing. If additional growths are identified, they may also be biopsied. This helps in diagnosing skin conditions and planning appropriate treatment.
208 services124 patients

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

84.08/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Promoting Interoperability100
Improvement Activities40
Cost46.93

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Standard wheelchair K0001
DME-Wheelchairs · category DD000N
2 suppliers23 claims23 services$15.26 avg. paid by Medicare
Elevating leg rests, pair (for use with capped rental wheelchair base) K0195
DME-Wheelchairs · category DD021N
2 suppliers12 claims12 services$5.55 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Nurse Practitioner
150 MUNDY ST, MAC IV BUILDING
WILKES BARRE, PA 18702
Physical Medicine & Rehabilitation
150 MUNDY ST
WILKES BARRE, PA 18702
Clinic/Center (Occupational Medicine)
150 MUNDY ST, MAC 1
WILKES BARRE, PA 18702
Durable Medical Equipment & Medical Supplies
150 MUNDY ST, MAC IV BUILDING
WILKES BARRE, PA 18702
Rehabilitation Hospital
150 MUNDY ST
WILKES BARRE, PA 18702
Social Worker (Clinical)
150 MUNDY ST
WILKES BARRE, PA 18702
Physical Therapist
150 MUNDY ST
WILKES BARRE, PA 18702
Physical Medicine & Rehabilitation
150 MUNDY ST
WILKES BARRE, PA 18702

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 Kimberly Kenehan's NPI number?

The NPI number for Kimberly Kenehan is 1457635278. It was assigned to this individual provider in the NPPES registry on September 29, 2011. The provider is also known as Kimberly Peron.

Where is Kimberly Kenehan located?

Kimberly Kenehan practices at 150 Mundy St Mac IV Building, Wilkes Barre, PA 18702. The listed phone number is (570) 824-0930.

What is Kimberly Kenehan's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Kimberly Kenehan enrolled in Medicare?

Yes. Kimberly Kenehan 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.

When was this NPI record last updated?

The NPPES record for Kimberly Kenehan was last updated on January 13, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.