ERIN RAE KENNY PA-C
NPI 1649622515
Physician Assistant - Medical in Charleston, WV

Active since July 05, 2016PECOS Enrolled
3200 MACCORKLE AVE SE, CHARLESTON, WV 25304(304) 388-5432 Get Directions Write a Review

NPPES record last updated: March 23, 2022. Verified against the NPPES registry weekly; last sync: September 27, 2026.

Record update history: Jul 20, 2021, Mar 19, 2020, Oct 20, 2016 (3 updates tracked since 2016).

About Erin Rae Kenny Pa-c NPPES

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

ERIN RAE KENNY PA-C (NPI 1649622515) is an individual medical provider in Charleston, West Virginia, licensed in West Virginia (2191) and active in the NPI registry since July 2016. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1649622515
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameERIN RAE KENNYCredential: PA-C
Location Address3200 MACCORKLE AVE SECharleston, WV 25304-1227
Mailing Address1413 Mount Vernon RdCharleston, WV 25314-2531 · (304) 415-4645
Sole ProprietorNo
Enumeration DateJuly 5, 2016
Last NPPES UpdateMarch 23, 20223 updates tracked since enumeration
NPPES CertifiedMarch 23, 2022
✔ NPI 1649622515 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
Licenses✔ Licensed in WV · 2191✔ Licensed in WV · 714
Also ListedPhysician AssistantTaxonomy 363A00000X · License 714 (WV)
3200 MACCORKLE AVE SE, Charleston, WV 25304

Other Names 1

Former Name (1)Erin Rae Tye

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Erin Rae Kenny Pa-c 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.

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.

Emergency Medicine
3200 MACCORKLE AVE SE
CHARLESTON, WV 25304
Registered Nurse
3200 MACCORKLE AVE SE
CHARLESTON, WV 25304
Nurse Practitioner (Family)
3200 MACCORKLE AVE SE
CHARLESTON, WV 25304
Nurse Anesthetist, Certified Registered
3200 MACCORKLE AVE SE
CHARSTON, WV 25304
Family Medicine
3200 MACCORKLE AVE SE, FIFTH FLOOR
CHARLESTON, WV 25304
Nurse Anesthetist, Certified Registered
3200 MACCORKLE AVE SE, DEPT. OF SURGERY
CHARLESTON, WV 25304
Nurse Anesthetist, Certified Registered
3200 MACCORKLE AVE SE
CHARLESTON, WV 25304
Nurse Anesthetist, Certified Registered
3200 MACCORKLE AVE SE
CHARLESTON, WV 25304

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 Erin Kenny's NPI number?

The NPI number for Erin Kenny is 1649622515. It was assigned to this individual provider in the NPPES registry on July 5, 2016. The provider is also known as Erin Rae Tye.

Where is Erin Kenny located?

Erin Kenny practices at 3200 Maccorkle Ave SE, Charleston, WV 25304. The listed phone number is (304) 388-5432.

What is Erin Kenny's specialty?

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

Is Erin Kenny enrolled in Medicare?

Yes. Erin Kenny is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Erin Kenny was last updated on March 23, 2022. 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.