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GRACE KENVILLE PA-C
NPI 1902625866
Physician Assistant - Medical in Philadelphia, PA

Active since October 08, 2024PECOS EnrolledAccepts Medicare Assignment
5501 OLD YORK RD, PHILADELPHIA, PA 19141(215) 456-7890 Get Directions Write a Review

NPPES record last updated: October 8, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Grace Kenville Pa-c NPPES

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

GRACE KENVILLE PA-C (NPI 1902625866) is an individual medical provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (MA066123) and active in the NPI registry since October 2024. She is enrolled in Medicare PECOS, is affiliated with Albert Einstein Medical Center, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1902625866
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameGRACE KENVILLECredential: PA-C
Location Address5501 OLD YORK RDPhiladelphia, PA 19141-3018
Mailing Address24 Saxony DrCinnaminson, NJ 08077-4390
Phone(215) 456-7890
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateOctober 8, 2024
NPPES CertifiedOctober 8, 2024
✔ NPI 1902625866 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in PA · MA066123
5501 OLD YORK RD, Philadelphia, PA 19141
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware.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

Grace Kenville 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 ID3870028780
PECOS Enrollment IDI20241129000342
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.

Hospital Affiliations CMS Care Compare

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

Albert Einstein Medical Center

Acute Care Hospitals · Philadelphia, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number390142
Location5501 Old York RoadPhiladelphia, PA 19141 · Philadelphia County
Emergency services Birthing friendly

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.

KENNETH KLECKNER MD
Emergency Medicine
5501 OLD YORK RD, EINSTEIN MEDICAL CENTER - PHILADELPHIA
PHILADELPHIA, PA 19141
Philadelphia County (215) 456-6679
MS. AMMAN HASSAN MD
Pediatrics
5501 OLD YORK RD
PHILADELPHIA, PA 19141
Philadelphia County (215) 456-3810
TAYLOR NICOLE THOMPSON PA-C
Physician Assistant (Medical)
5501 OLD YORK RD, KORMAN BUILDING SUITE 202
PHILADELPHIA, PA 19141
Philadelphia County (215) 254-2630
STEPHEN RYAN CHEN
Orthopaedic Surgery
5501 OLD YORK RD
PHILADELPHIA, PA 19141
Philadelphia County (215) 456-7890
DR. DHRUV SHARMA MD
Student in an Organized Health Care Education/Training Program
5501 OLD YORK RD
PHILADELPHIA, PA 19141
Philadelphia County (215) 456-7890
TIMOTHY DANIEL GARDNER DO
Student in an Organized Health Care Education/Training Program
5501 OLD YORK RD
PHILADELPHIA, PA 19141
Philadelphia County (215) 456-7890
DR. JONATHAN THOMAS LUCIANI DO
Student in an Organized Health Care Education/Training Program
5501 OLD YORK RD
PHILADELPHIA, PA 19141
Philadelphia County (215) 456-7890
ASHIKA KAPOOR MD
Psychiatry & Neurology (Psychiatry)
5501 OLD YORK RD
PHILA, PA 19141
Philadelphia County (215) 456-8103

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 Grace Kenville's NPI number?

The NPI number for Grace Kenville is 1902625866. It was assigned to this individual provider in the NPPES registry on October 8, 2024.

Where is Grace Kenville located?

Grace Kenville practices at 5501 Old York Rd, Philadelphia, PA 19141. The listed phone number is (215) 456-7890.

What is Grace Kenville's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Grace Kenville enrolled in Medicare?

Yes. Grace Kenville 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 Grace Kenville accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Grace Kenville 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 Grace Kenville affiliated with any hospitals?

According to CMS data, Grace Kenville is affiliated with Albert Einstein Medical Center.

When was this NPI record last updated?

The NPPES record for Grace Kenville was last updated on October 8, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.