KENNETH KIN NING POON FNP-C
NPI 1790222164
Nurse Practitioner - Family in San Carlos, CA

Q: What is Kenneth Poon's NPI number?

The NPI number for Kenneth Poon is 1790222164. It was assigned to this individual provider in the NPPES registry on January 24, 2017.

Q: What is Kenneth Poon's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Kenneth Poon was last updated on June 12, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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 January 24, 2017PECOS EnrolledAccepts Medicare Assignment

301 INDUSTRIAL RD, SAN CARLOS, CA 94070(650) 596-4000 Get Directions Write a Review

NPPES record last updated: June 12, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 12, 2020, Jan 24, 2017 (2 updates tracked since 2017).

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About Kenneth Kin Ning Poon Fnp-c NPPES

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

KENNETH KIN NING POON FNP-C (NPI 1790222164) is an individual family provider in San Carlos, California, licensed in California (95005757) and active in the NPI registry since January 2017. He is enrolled in Medicare PECOS, maintains a secondary practice location in Fremont, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1790222164

Entity TypeIndividualMale

Primary Taxonomy363LF0000X

Provider Legal NameKENNETH KIN NING POONCredential: FNP-C

Location Address301 INDUSTRIAL RDSan Carlos, CA 94070-2603

Mailing Address325 Distel CirLos Altos, CA 94022-1408 · (650) 596-4000

Phone(650) 596-4000

Sole ProprietorNo

Medical School CMSOtherGraduated 2016

Enumeration DateJanuary 24, 2017

Last NPPES UpdateJune 12, 20202 updates tracked since enumeration

NPPES CertifiedJune 12, 2020

✔ NPI 1790222164 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in CA · 95005757

301 INDUSTRIAL RD, San Carlos, CA 94070

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Secondary Practice Location 1

Location 139500 Liberty StFremont, CA 94538-2211 · Phone (510) 770-8040

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

Kenneth Kin Ning Poon Fnp-c 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 ID8921381856

PECOS Enrollment IDI20180402001760

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 4

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.

188 services160 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

100 services89 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.

23 services22 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

19 services19 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94070 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

$104.51 typical visit price

range $69.00 – $202.35

Typical copayment $26.12 (range $17.25 – $50.58)

Most-billed visit code 99203

Established Patient

$119.48 typical visit price

range $23.44 – $166.46

Typical copayment $29.87 (range $5.86 – $41.61)

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.

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.

REBECCA ASHE MD

Internal Medicine