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KENYATTA IRVIN NP
NPI 1689325425
Nurse Practitioner in Granada Hills, CA

Active since January 13, 2022PECOS EnrolledAccepts Medicare Assignment
PO BOX 3503, GRANADA HILLS, CA 91394(000) 000-0011 Get Directions Write a Review

NPPES record last updated: March 20, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 20, 2025, Oct 6, 2022, Jan 13, 2022 (3 updates tracked since 2022).

About Kenyatta Irvin Np NPPES

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

KENYATTA IRVIN NP (NPI 1689325425) is an individual nurse practitioner in Granada Hills, California, licensed in California (95018472) and active in the NPI registry since January 2022. He is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1689325425
Entity TypeIndividualMale
Primary Taxonomy363L00000X
Provider Legal NameKENYATTA IRVINCredential: NP
Location AddressPO BOX 3503Granada Hills, CA 91394-0503
Mailing AddressPo Box 3503Granada Hills, CA 91394-0503
Phone(000) 000-0011
Sole ProprietorYes
Medical School CMSOtherGraduated 2021
Enumeration DateJanuary 13, 2022
Last NPPES UpdateMarch 20, 20253 updates tracked since enumeration
NPPES CertifiedMarch 20, 2025
✔ NPI 1689325425 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in CA · 95018472
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
PO BOX 3503, Granada Hills, CA 91394
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kenyatta Irvin Np 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 ID8820442460
PECOS Enrollment IDI20230929002066
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.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
134 services100 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
35 services31 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 91394 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
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
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 Kenyatta Irvin's NPI number?

The NPI number for Kenyatta Irvin is 1689325425. It was assigned to this individual provider in the NPPES registry on January 13, 2022.

Where is Kenyatta Irvin located?

Kenyatta Irvin practices at PO Box 3503, Granada Hills, CA 91394. The listed phone number is (000) 000-0011.

What is Kenyatta Irvin's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Kenyatta Irvin enrolled in Medicare?

Yes. Kenyatta Irvin 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.

When was this NPI record last updated?

The NPPES record for Kenyatta Irvin was last updated on March 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.