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BREEANNE KENYON PA-C
NPI 1881325322
Physician Assistant in Grand Rapids, MI

Active since June 23, 2022PECOS EnrolledAccepts Medicare Assignment
80 68TH ST SE, GRAND RAPIDS, MI 49548(616) 391-8242 Get Directions Write a Review

NPPES record last updated: May 27, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 27, 2025, Feb 2, 2023 (2 updates tracked since 2023).

About Breeanne Kenyon Pa-c NPPES

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

BREEANNE KENYON PA-C (NPI 1881325322) is an individual physician assistant in Grand Rapids, Michigan, licensed in Michigan (5601013005) and active in the NPI registry since June 2022. She is enrolled in Medicare PECOS, is affiliated with Spectrum Health, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1881325322
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameBREEANNE KENYONCredential: PA-C
Location Address80 68TH ST SEGrand Rapids, MI 49548-6980
Mailing Address100 Michigan St Ne # Mc845Grand Rapids, MI 49503-2560
Phone(616) 391-8242
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateJune 23, 2022
Last NPPES UpdateMay 27, 20252 updates tracked since enumeration
NPPES CertifiedMay 27, 2025
✔ NPI 1881325322 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in MI · 5601013005
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
80 68TH ST SE, Grand Rapids, MI 49548
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include McLaren Health Plan Community.Insurance ›

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

Breeanne Kenyon 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 ID4880066182
PECOS Enrollment IDI20250331001401
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.

Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
27 services27 patients
Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
14 services14 patients

Hospital Affiliations CMS Care Compare

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

Spectrum Health

Acute Care Hospitals · Grand Rapids, MI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230038
Location100 Michigan St NEGrand Rapids, MI 49503 · Kent County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49548 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
$84.74 typical visit price
range $54.34 – $166.68
Typical copayment $21.18 (range $13.58 – $41.67)
Most-billed visit code 99203
Established Patient
$68.07 typical visit price
range $17.09 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
Most-billed visit code 99213
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.

EMILY ELIZABETH ZECIC PA-C
Physician Assistant
80 68TH ST SE
GRAND RAPIDS, MI 49548
Kent County (616) 391-8242
HEATHER ELIZABETH CHAPPELL DNP
Nurse Practitioner (Family)
80 68TH ST SE
GRAND RAPIDS, MI 49548
Kent County (616) 391-8242
SAMANTHA NICOLE LUBBERS PA-C
Physician Assistant
80 68TH ST SE
GRAND RAPIDS, MI 49548
Kent County (616) 391-8242
DANA LOSS PA-C
Physician Assistant
80 68TH ST SE
GRAND RAPIDS, MI 49548
Kent County (616) 391-8242
ASHLIE WILBON GYR FNP
Nurse Practitioner (Family)
80 68TH ST SE
GRAND RAPIDS, MI 49548
Kent County (877) 362-8362
SPECTRUM HEALTH PRIMARY CARE PARTNERS
Emergency Medicine
80 68TH ST SE
GRAND RAPIDS, MI 49548
Kent County (616) 391-8242
CLAIRE MARGARET ESPARZA PA-C
Physician Assistant
80 68TH ST SE
GRAND RAPIDS, MI 49548
Kent County (616) 391-8242
SPECTRUM HEALTH PRIMARY CARE PARTNERS
Emergency Medicine
80 68TH ST SE
GRAND RAPIDS, MI 49548
Kent County (616) 391-8242

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 Breeanne Kenyon's NPI number?

The NPI number for Breeanne Kenyon is 1881325322. It was assigned to this individual provider in the NPPES registry on June 23, 2022.

Where is Breeanne Kenyon located?

Breeanne Kenyon practices at 80 68th St SE, Grand Rapids, MI 49548. The listed phone number is (616) 391-8242.

What is Breeanne Kenyon's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Breeanne Kenyon enrolled in Medicare?

Yes. Breeanne Kenyon 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.

What insurance does Breeanne Kenyon accept?

Health plans from McLaren Health Plan Community list Breeanne Kenyon 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.

Is Breeanne Kenyon affiliated with any hospitals?

According to CMS data, Breeanne Kenyon is affiliated with Spectrum Health.

When was this NPI record last updated?

The NPPES record for Breeanne Kenyon was last updated on May 27, 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.