MR. KEVIN WALTER WENNER PA-C
NPI 1831687300
Physician Assistant - Surgical in Brunswick, ME

Q: What is Kevin Wenner's NPI number?

The NPI number for Kevin Wenner is 1831687300. It was assigned to this individual provider in the NPPES registry on April 30, 2018.

Q: What is Kevin Wenner's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Q: When was this NPI record last updated?

The NPPES record for Kevin Wenner was last updated on May 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.

Active since April 30, 2018PECOS EnrolledAccepts Medicare Assignment

98.06/100

CMS Quality Rating

430 BATH RD STE 102, BRUNSWICK, ME 04011(207) 442-0350(207) 618-5668 Get Directions Write a Review

NPPES record last updated: May 22, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 22, 2025, Nov 25, 2020, Apr 30, 2018 (3 updates tracked since 2018).

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About Mr. Kevin Walter Wenner Pa-c NPPES

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

MR. KEVIN WALTER WENNER PA-C (NPI 1831687300) is an individual surgical provider in Brunswick, Maine, licensed in Maine (PA2143) and active in the NPI registry since April 2018. He is enrolled in Medicare PECOS, is affiliated with Mid Coast Hospital, and maintains a secondary practice location in Boston.

NPPES Registry Identity

NPI1831687300

Entity TypeIndividualMale

Primary Taxonomy363AS0400X

Provider Legal NameMR. KEVIN WALTER WENNERCredential: PA-C

Location Address430 BATH RD STE 102Brunswick, ME 04011-2656

Mailing Address430 Bath Rd Ste 102Brunswick, ME 04011-2656 · (207) 442-0350 · Fax (207) 618-5668

Phone(207) 442-0350

Fax(207) 618-5668

Sole ProprietorNo

Medical School CMSOtherGraduated 2017

Enumeration DateApril 30, 2018

Last NPPES UpdateMay 22, 20253 updates tracked since enumeration

NPPES CertifiedMay 22, 2025

✔ NPI 1831687300 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AS0400X

Licenses✔ Licensed in ME · PA2143✔ Licensed in MA · PA6455

Also ListedPhysician AssistantTaxonomy 363A00000X · License PA6455 (MA), PA2143 (ME)

Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X · License PA6455 (MA)

430 BATH RD STE 102, Brunswick, ME 04011

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Secondary Practice Location 1

Location 1319 Longwood AveBoston, MA 02115-5728 · Phone (617) 355-3501

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

Mr. Kevin Walter Wenner Pa-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 ID7315376613

PECOS Enrollment IDI20210121000103

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

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 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.

16 services14 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Mid Coast Hospital

Acute Care Hospitals · Brunswick, ME

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number200021

Location123 Medical Center DriveBrunswick, ME 04011 · Cumberland County

Emergency services Birthing friendly

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.

98.06/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

86.13

Promoting Interoperability

100

Improvement Activities

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SCOTT H WALTON PAC

Physician Assistant (Surgical)