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

Q: 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.

Q: What is Kevin Kenney's specialty?

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

Q: 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.

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: August 09, 2026.

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

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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

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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, and ordering and referring status from the CMS PECOS system.

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.

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)