MR. KENNETH RUSSELL PATTERSON PA-C
NPI 1659445971
Physician Assistant - Medical in Nellis Afb, NV

Q: What is Kenneth Patterson's NPI number?

The NPI number for Kenneth Patterson is 1659445971. It was assigned to this individual provider in the NPPES registry on November 20, 2006.

Q: What is Kenneth Patterson's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Kenneth Patterson was last updated on August 8, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since November 20, 2006PECOS Enrolled

4700 LV BLVD. N., NELLIS AFB, NV 89191(702) 653-2344 Get Directions Write a Review

NPPES record last updated: August 8, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Mr. Kenneth Russell Patterson Pa-c NPPES

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

MR. KENNETH RUSSELL PATTERSON PA-C (NPI 1659445971) is an individual medical provider in Nellis Afb, Nevada and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1659445971

Entity TypeIndividualMale

Primary Taxonomy363AM0700X

Provider Legal NameMR. KENNETH RUSSELL PATTERSONCredential: PA-C

Location Address4700 LV BLVD. N.Nellis Afb, NV 89191-6601

Mailing Address4700 Lv Blvd. N.Nellis Afb, NV 89191-6601 · (702) 653-2344

Phone(702) 653-2344

Sole ProprietorYes

Enumeration DateNovember 20, 2006

Last NPPES UpdateAugust 8, 2023

NPPES CertifiedAugust 8, 2023

✔ NPI 1659445971 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

Also ListedPhysician AssistantTaxonomy 363A00000X · License 20090 (CA)

4700 LV BLVD. N., Nellis Afb, NV 89191

Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Kenneth Russell Patterson 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.

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 Kenneth Patterson's NPI number?

The NPI number for Kenneth Patterson is 1659445971. It was assigned to this individual provider in the NPPES registry on November 20, 2006.

Where is Kenneth Patterson located?

Kenneth Patterson practices at 4700 Lv Blvd. N., Nellis Afb, NV 89191. The listed phone number is (702) 653-2344.

What is Kenneth Patterson's specialty?

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

Is Kenneth Patterson enrolled in Medicare?

Yes. Kenneth Patterson is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kenneth Patterson was last updated on August 8, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.