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KAREN KENNICOTT MD
NPI 1679602296
Pediatrics in Albuquerque, NM

Active since March 02, 2007PECOS Enrolled
83.84/100
CMS Quality Rating
5901 HARPER DR NE, PMG NORTHSIDE, ALBUQUERQUE, NM 87109(505) 823-8888(505) 823-8275 Get Directions Write a Review

NPPES record last updated: July 15, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Karen Kennicott Md NPPES

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

KAREN KENNICOTT MD (NPI 1679602296) is an individual pediatrics provider in Albuquerque, New Mexico, licensed in New Mexico (8792) and active in the NPI registry since March 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1679602296
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameKAREN KENNICOTTCredential: MD
Location Address5901 HARPER DR NE, PMG NORTHSIDEAlbuquerque, NM 87109-3587
Mailing AddressPo Box 26666, Phs Provider EnrollmentAlbuquerque, NM 87125-6666 · (505) 923-5356 · Fax (505) 923-5354
Phone(505) 823-8888
Fax(505) 823-8275
Sole ProprietorNo
Enumeration DateMarch 2, 2007
Last NPPES UpdateJuly 15, 2008
✔ NPI 1679602296 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in NM · 8792
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
5901 HARPER DR NE, Albuquerque, NM 87109
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Other Identifiers 1

Medicaid39537NM

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Superior HealthPlan, Ambetter of Oklahoma.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Karen Kennicott Md 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 87109 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
$84.79 typical visit price
range $54.26 – $166.80
Typical copayment $21.19 (range $13.56 – $41.70)
Most-billed visit code 99203
Established Patient
$96.38 typical visit price
range $17.00 – $135.35
Typical copayment $24.09 (range $4.25 – $33.83)
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.

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.

83.84/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality84.59
Promoting Interoperability100
Improvement Activities40
Cost58.63

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.

BILL DAUGHERTY MD
Family Medicine
5901 HARPER DR NE, PMG URGENT CARE
ALBUQUERQUE, NM 87109
Bernalillo County (505) 823-8233
SHERRIE DUGAS
Nurse Practitioner (Family)
5901 HARPER DR NE
ALBUQUERQUE, NM 87109
Bernalillo County (505) 823-8870
DR. JEFFREY ROSS M.D.
Specialist
5901 HARPER DR NE
ALBUQUERQUE, NM 87109
Bernalillo County (505) 848-3730
SONIA CHAVEZ FNP
Nurse Practitioner (Family)
5901 HARPER DR NE
ALBUQUERQUE, NM 87109
Bernalillo County (505) 823-8233
BRET LAPOINTE MD
Family Medicine
5901 HARPER DR NE, PMG URGENT CARE
ALBUQUERQUE, NM 87109
Bernalillo County (505) 823-8233
JANELLE MONTOYA M.D.
Family Medicine
5901 HARPER DR NE
ALBUQUERQUE, NM 87109
Bernalillo County (505) 823-8282
PARASTOU MALEK M.D.
Family Medicine
5901 HARPER DR NE
ALBUQUERQUE, NM 87109
Bernalillo County (505) 823-8888
ALEXANDRA CARTER PA-C
Physician Assistant
5901 HARPER DR NE
ALBUQUERQUE, NM 87109
Bernalillo County (505) 823-8223

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 Karen Kennicott's NPI number?

The NPI number for Karen Kennicott is 1679602296. It was assigned to this individual provider in the NPPES registry on March 2, 2007.

Where is Karen Kennicott located?

Karen Kennicott practices at 5901 Harper Dr NE Pmg Northside, Albuquerque, NM 87109. The listed phone number is (505) 823-8888.

What is Karen Kennicott's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Karen Kennicott enrolled in Medicare?

Yes. Karen Kennicott is registered in the Medicare PECOS enrollment system.

What insurance does Karen Kennicott accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Superior HealthPlan and Ambetter of Oklahoma list Karen Kennicott 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 Karen Kennicott was last updated on July 15, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.