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KENSEY DUNCAN
NPI 1528528817
Nurse Practitioner - Neonatal in Houston, TX

Active since March 22, 2019PECOS Enrolled
6431 FANNIN ST # 3.242, HOUSTON, TX 77030(409) 920-8942 Get Directions Write a Review

NPPES record last updated: March 22, 2019. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Kensey Duncan NPPES

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

KENSEY DUNCAN (NPI 1528528817) is an individual neonatal provider in Houston, Texas, licensed in Texas (AP141121) and active in the NPI registry since March 2019. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1528528817
Entity TypeIndividualFemale
Primary Taxonomy363LN0000X
Provider Legal NameKENSEY DUNCAN
Location Address6431 FANNIN ST # 3.242Houston, TX 77030-1501
Mailing Address6431 Fannin St # 3.242Houston, TX 77030-1501 · (409) 920-8942
Phone(409) 920-8942
Sole ProprietorYes
Enumeration DateMarch 22, 2019
✔ NPI 1528528817 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · NeonatalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LN0000X
License✔ Licensed in TX · AP141121
6431 FANNIN ST # 3.242, Houston, TX 77030
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections 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 (PECOS)

Kensey Duncan is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Kensey Duncan reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Ut Physicians
0.1 mi
Anesthesiology
6410 FANNIN ST, 1500
Houston, TX 77030
  • Reassigned Medicare billing, Texas enrollment
  • 3,111 clinicians in this Medicare group
NPI 1033157821 (832) 325-7325

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 77030 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
$90.40 typical visit price
range $58.24 – $176.98
Typical copayment $22.60 (range $14.56 – $44.24)
Most-billed visit code 99203
Established Patient
$102.71 typical visit price
range $18.60 – $143.93
Typical copayment $25.67 (range $4.65 – $35.98)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Kensey Duncan's NPI number?

The NPI number for Kensey Duncan is 1528528817. It was assigned to this individual provider in the NPPES registry on March 22, 2019.

Where is Kensey Duncan located?

Kensey Duncan practices at 6431 Fannin St # 3.242, Houston, TX 77030. The listed phone number is (409) 920-8942.

What is Kensey Duncan's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Neonatal, with taxonomy code 363LN0000X.

Is Kensey Duncan enrolled in Medicare?

Yes. Kensey Duncan is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Kensey Duncan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kensey Duncan reassigns Medicare benefits to Ut Physicians (Houston, TX). 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 Kensey Duncan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kensey Duncan accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 3 other insurers list Kensey Duncan 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 Kensey Duncan was last updated on March 22, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.