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DEEANNA EMMALYNN KENNY PA-C
NPI 1902124266
Physician Assistant in Midland, MI

Active since May 12, 2010PECOS Enrolled
715 E MAIN ST STE 108, MIDLAND, MI 48640(989) 488-1150 Get Directions Write a Review

NPPES record last updated: May 13, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 13, 2024, Jul 21, 2022, Mar 17, 2018 (3 updates tracked since 2018).

About Deeanna Emmalynn Kenny Pa-c NPPES

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

DEEANNA EMMALYNN KENNY PA-C (NPI 1902124266) is an individual physician assistant in Midland, Michigan, licensed in Michigan (5601005739) and active in the NPI registry since May 2010. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1902124266
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameDEEANNA EMMALYNN KENNYCredential: PA-C
Location Address715 E MAIN ST STE 108Midland, MI 48640-5488
Mailing Address100 Michigan St Ne # Mc845Grand Rapids, MI 49503-2560 · (616) 486-6790 · Fax (616) 486-6702
Phone(989) 488-1150
Sole ProprietorNo
Enumeration DateMay 12, 2010
Last NPPES UpdateMay 13, 20243 updates tracked since enumeration
NPPES CertifiedMay 13, 2024
✔ NPI 1902124266 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 · 5601005739
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.
715 E MAIN ST STE 108, Midland, MI 48640
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Secondary Practice Locations 2

Location 14401 Campus Ridge Dr Ste 1000Midland, MI 48640-6125 · Phone (989) 837-9350 · Fax (989) 837-9347
Location 24069 Lake Dr SE, Suite 117Grand Rapids, MI 49546-8816 · Phone (616) 267-7700 · Fax (616) 267-8705

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company.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)

Deeanna Emmalynn Kenny Pa-c 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 48640 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

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

LINDSAY A FILBECK FNP-C
Nurse Practitioner (Family)
715 E MAIN ST STE 108
MIDLAND, MI 48640
Midland County (989) 488-1150

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 Deeanna Kenny's NPI number?

The NPI number for Deeanna Kenny is 1902124266. It was assigned to this individual provider in the NPPES registry on May 12, 2010.

Where is Deeanna Kenny located?

Deeanna Kenny practices at 715 E Main St Ste 108, Midland, MI 48640. The listed phone number is (989) 488-1150.

What is Deeanna Kenny's specialty?

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

Is Deeanna Kenny enrolled in Medicare?

Yes. Deeanna Kenny is registered in the Medicare PECOS enrollment system.

What insurance does Deeanna Kenny accept?

Health plans from Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Deeanna Kenny 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 Deeanna Kenny was last updated on May 13, 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.