1. Home
  2. Directory
  3. Wisconsin
  4. Shawano
  5. Emergency Medicine
  6. NPI Profile

DR. KEVIN CONOR KENNEY MD
NPI 1861014680
Emergency Medicine in Shawano, WI

Active since May 14, 2020PECOS Enrolled
100 COUNTY ROAD B, SHAWANO, WI 54166(715) 526-2111(715) 526-7308 Get Directions Write a Review

NPPES record last updated: April 22, 2024. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Apr 22, 2024, May 14, 2020 (2 updates tracked since 2020).

About Dr. Kevin Conor Kenney Md NPPES

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

DR. KEVIN CONOR KENNEY MD (NPI 1861014680) is an individual emergency medicine provider in Shawano, Wisconsin, licensed in Wisconsin (83604) and active in the NPI registry since May 2020. He is enrolled in Medicare PECOS and maintains a secondary practice location in Madison Heights.

NPPES Registry Identity

NPI1861014680
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameDR. KEVIN CONOR KENNEYCredential: MD
Location Address100 COUNTY ROAD BShawano, WI 54166-7072
Mailing Address3 Neenah CtrNeenah, WI 54956-3070 · (920) 830-5900 · Fax (920) 830-5910
Phone(715) 526-2111
Fax(715) 526-7308
Sole ProprietorYes
Enumeration DateMay 14, 2020
Last NPPES UpdateApril 22, 20242 updates tracked since enumeration
NPPES CertifiedApril 22, 2024
✔ NPI 1861014680 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in WI · 83604
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
100 COUNTY ROAD B, Shawano, WI 54166
Open in Google Maps ↗

Secondary Practice Location 1

Location 127351 Dequindre RdMadison Heights, MI 48071-3487 · Phone (248) 967-7795

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource (Common Ground Healthcare).Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Kevin Conor Kenney 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.

Medicare Billing Reassignments

5

Medicare enrollment records show Kevin Kenney reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Thedacare Medical Center - Shawano, Inc.
Same address
Critical Access
100 COUNTY ROAD B
Shawano, WI 54166
  • Reassigned Medicare billing, Wisconsin enrollment
  • 70 clinicians in this Medicare group
NPI 1548260839 (715) 526-2111
Thedacare Medical Center - New London, Inc.
25 mi
Critical Access
1405 MILL ST
New London, WI 54961
  • Reassigned Medicare billing, Wisconsin enrollment
  • 106 clinicians in this Medicare group
NPI 1538127220 (920) 531-2092
Thedacare Medical Center - Waupaca, Inc.
34 mi
Emergency Medicine
800 RIVERSIDE DR
Waupaca, WI 54981
  • Reassigned Medicare billing, Wisconsin enrollment
  • Also billed through NPI 1013995521 (Wisconsin)
  • 110 clinicians in this Medicare group
NPI 1780782680 (715) 258-1000
Thedacare Regional Medical Center - Appleton, Inc.
35 mi
General Acute Care Hospital
1818 N MEADE ST
Appleton, WI 54911
  • Reassigned Medicare billing, Wisconsin enrollment
  • 35 clinicians in this Medicare group
NPI 1902832306 (920) 731-4101
Thedacare Medical Center - Berlin, Inc.
55 mi
Critical Access
225 MEMORIAL DRIVE
Berlin, WI 54923
  • Reassigned Medicare billing, Wisconsin enrollment
  • 55 clinicians in this Medicare group
NPI 1760413777 (920) 361-1313

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54166 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
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$95.41 typical visit price
range $17.40 – $133.76
Typical copayment $23.85 (range $4.35 – $33.44)
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.

SHOPKO STORES OPERATING CO., LLC
Pharmacy (Community/Retail Pharmacy)
100 COUNTY ROAD B
SHAWANO, WI 54166
Shawano County (920) 429-4726
MR. DAVID A KLOSS M.D.
Surgery
100 COUNTY ROAD B
SHAWANO, WI 54166
Shawano County (715) 524-2161
DR. MINDY MARIA FRIMODIG DO
Family Medicine
100 COUNTY ROAD B
SHAWANO, WI 54166
Shawano County (715) 524-2161
CAROLYN ANNE FLOOD OTR/L
Occupational Therapist
100 COUNTY ROAD B
SHAWANO, WI 54166
Shawano County (715) 526-7370
WILL GILLIS PHARMD
Pharmacist
100 COUNTY ROAD B
SHAWANO, WI 54166
Shawano County (715) 526-3456
RACHEL NAULT PHARMD
Pharmacist
100 COUNTY ROAD B
SHAWANO, WI 54166
Shawano County (715) 524-2161
ALEXIS VANDEHEY
Pharmacist
100 COUNTY ROAD B
SHAWANO, WI 54166
Shawano County (920) 203-0630
JENNA J MULDER
Physician Assistant
100 COUNTY ROAD B
SHAWANO, WI 54166
Shawano County (715) 526-2111

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 Kevin Kenney's NPI number?

The NPI number for Kevin Kenney is 1861014680. It was assigned to this individual provider in the NPPES registry on May 14, 2020.

Where is Kevin Kenney located?

Kevin Kenney practices at 100 County Road B, Shawano, WI 54166. The listed phone number is (715) 526-2111.

What is Kevin Kenney's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Kevin Kenney enrolled in Medicare?

Yes. Kevin Kenney is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Kevin Kenney's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kevin Kenney reassigns Medicare benefits to 5 organizations: Thedacare Medical Center - Shawano, Inc. (Shawano, WI), Thedacare Medical Center - New London, Inc. (New London, WI), Thedacare Medical Center - Waupaca, Inc. (Waupaca, WI), Thedacare Regional Medical Center - Appleton, Inc. (Appleton, WI) and Thedacare Medical Center - Berlin, Inc. (Berlin, WI). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kevin Kenney's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kevin Kenney accept?

Health plans from CareSource (Common Ground Healthcare) list Kevin Kenney 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 Kevin Kenney was last updated on April 22, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.