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DR. NICHOLAS RYAN KENNING D.D.S., M.D.
NPI 1497162358
Dentist - Oral and Maxillofacial Surgery in Saint Cloud, MN

Active since July 11, 2014PECOS EnrolledAccepts Medicare Assignment
3950 VETERANS DR STE 100, SAINT CLOUD, MN 56303(320) 252-3611(320) 252-7574 Get Directions Write a Review

NPPES record last updated: June 15, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 25, 2020, Jan 16, 2019, Oct 19, 2018 and 2 more (5 updates tracked since 2017).

About Dr. Nicholas Ryan Kenning D.d.s., M.d. NPPES

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

DR. NICHOLAS RYAN KENNING D.D.S., M.D. (NPI 1497162358) is an individual oral and maxillofacial surgery provider in Saint Cloud, Minnesota, licensed in Minnesota (D13402) and active in the NPI registry since July 2014. He is enrolled in Medicare PECOS, maintains a secondary practice location in Rochester, and is a graduate of Creighton University School Of Dentistry (2014).

NPPES Registry Identity

NPI1497162358
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NameDR. NICHOLAS RYAN KENNINGCredential: D.D.S., M.D.
Location Address3950 VETERANS DR STE 100Saint Cloud, MN 56303-3424
Mailing Address3950 Veterans Dr Ste 100Saint Cloud, MN 56303-3424 · (320) 252-3611 · Fax (320) 252-7574
Phone(320) 252-3611
Fax(320) 252-7574
Sole ProprietorNo
Medical School CMSCreighton University School Of DentistryGraduated 2014
Enumeration DateJuly 11, 2014
Last NPPES UpdateJune 15, 20265 updates tracked since enumeration
NPPES CertifiedJune 15, 2026
✔ NPI 1497162358 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
Licenses✔ Licensed in MN · D13402✔ Licensed in MN · 64354
Definition
An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
Also ListedOral & Maxillofacial SurgeryTaxonomy 204E00000X · License 64354 (MN), D13402 (MN)
3950 VETERANS DR STE 100, Saint Cloud, MN 56303
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Secondary Practice Location 1

Location 1200 1st St SWRochester, MN 55905 · Phone (507) 284-2511

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and more.Insurance ›

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

Dr. Nicholas Ryan Kenning D.d.s., M.d. 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 ID1254550023
PECOS Enrollment IDI20140910001631
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 Nicholas Kenning reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Centrasota Oral & Maxillofacial Surgeons, P.A.
1.9 mi
Oral and Maxillofacial Surgery
3950 VETERANS DR, SUITE 100
Saint Cloud, MN 56303
  • Reassigned Medicare billing, Minnesota enrollment
  • Medicare enrollment name: Centrasota Oral & Maxillofacial Surgeons PA
  • 8 clinicians in this Medicare group
NPI 1598710477 (320) 252-3611

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 56303 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
$85.82 typical visit price
range $56.00 – $168.28
Typical copayment $21.45 (range $14.00 – $42.07)
Most-billed visit code 99203
Established Patient
$69.74 typical visit price
range $18.32 – $138.04
Typical copayment $17.43 (range $4.58 – $34.51)
Most-billed visit code 99213
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 3

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

DR. SEAN PHILIP WELANDER D.D.S.
Dentist (Oral and Maxillofacial Surgery)
3950 VETERANS DR STE 100
SAINT CLOUD, MN 56303
Stearns County (320) 252-3611
RYAN D MORRIS D.D.S.
Dentist (Oral and Maxillofacial Surgery)
3950 VETERANS DR STE 100
SAINT CLOUD, MN 56303
Stearns County (320) 252-3611
DR. THOMAS HEIDENREICH D.D.S.
Dentist (Oral and Maxillofacial Surgery)
3950 VETERANS DR STE 100
SAINT CLOUD, MN 56303
Stearns County (320) 252-3611

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 Nicholas Kenning's NPI number?

The NPI number for Nicholas Kenning is 1497162358. It was assigned to this individual provider in the NPPES registry on July 11, 2014.

Where is Nicholas Kenning located?

Nicholas Kenning practices at 3950 Veterans Dr Ste 100, Saint Cloud, MN 56303. The listed phone number is (320) 252-3611.

What is Nicholas Kenning's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Is Nicholas Kenning enrolled in Medicare?

Yes. Nicholas Kenning 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 organization bills Medicare for Nicholas Kenning's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nicholas Kenning reassigns Medicare benefits to Centrasota Oral & Maxillofacial Surgeons, P.A. (Saint Cloud, MN). 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 Nicholas Kenning's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Nicholas Kenning accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas, Florida Combined Life and Humana list Nicholas Kenning as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Nicholas Kenning was last updated on June 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.