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MATTHEW M KENICK PAC
NPI 1922051614
Physician Assistant in Fort Lauderdale, FL

Active since May 17, 2006PECOS Enrolled
1625 SE 3RD AVE STE 300, FORT LAUDERDALE, FL 33316(954) 355-4665(954) 355-4881 Get Directions Write a Review

NPPES record last updated: July 29, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 4, 2024, Jul 27, 2022, Jul 21, 2022 and 1 more (4 updates tracked since 2017).

About Matthew M Kenick Pac NPPES

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

MATTHEW M KENICK PAC (NPI 1922051614) is an individual physician assistant in Fort Lauderdale, Florida, licensed in Florida (PA3593) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS and maintains a secondary practice location in Fort Lauderdale.

NPPES Registry Identity

NPI1922051614
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMATTHEW M KENICKCredential: PAC
Location Address1625 SE 3RD AVE STE 300Fort Lauderdale, FL 33316-2521
Mailing Address1608 Se 3rd Ave Fl 3Fort Lauderdale, FL 33316-2564 · (954) 355-4665 · Fax (954) 355-4881
Phone(954) 355-4665
Fax(954) 355-4881
Sole ProprietorNo
Enumeration DateMay 17, 2006
Last NPPES UpdateJuly 29, 20254 updates tracked since enumeration
NPPES CertifiedJuly 29, 2025
✔ NPI 1922051614 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 FL · PA3593
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.
1625 SE 3RD AVE STE 300, Fort Lauderdale, FL 33316
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Secondary Practice Location 1

Location 11625 SE 3rd Ave Ste 355Fort Lauderdale, FL 33316-2521 · Phone (954) 355-5001 · Fax (954) 355-4881

Other Identifiers 1

Medicaid290516700FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AvMed.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)

Matthew M Kenick Pac 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 33316 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
$91.69 typical visit price
range $58.56 – $179.05
Typical copayment $22.92 (range $14.64 – $44.76)
Most-billed visit code 99203
Established Patient
$73.00 typical visit price
range $18.44 – $144.68
Typical copayment $18.25 (range $4.61 – $36.17)
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 17

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

GENESIS ELIZABETH ANGULO-JUAN APRN
Nurse Practitioner (Acute Care)
1625 SE 3RD AVE STE 300
FORT LAUDERDALE, FL 33316
Broward County (954) 355-4665
MICHAEL BOLANOS M.D.
Thoracic Surgery (Cardiothoracic Vascular Surgery)
1625 SE 3RD AVE STE 300
FORT LAUDERDALE, FL 33316
Broward County (954) 355-4665
ALAN L NIEDERMAN MD
Internal Medicine (Interventional Cardiology)
1625 SE 3RD AVE STE 300
FORT LAUDERDALE, FL 33316
Broward County (954) 355-5001
VIOLETA ATANASOSKI MCCORMACK MD
Internal Medicine (Interventional Cardiology)
1625 SE 3RD AVE STE 300
FORT LAUDERDALE, FL 33316
Broward County (954) 355-4665
DR. ALEXANDER G JUSTICZ MD
Thoracic Surgery (Cardiothoracic Vascular Surgery)
1625 SE 3RD AVE STE 300
FORT LAUDERDALE, FL 33316
Broward County (954) 355-4665
BEATRIZ A. LIBOS PA-C
Physician Assistant (Medical)
1625 SE 3RD AVE STE 300
FT LAUDERDALE, FL 33316
Broward County (954) 355-4665
MR. JACK JOSEPH CRISTIANO JR. PA-C
Physician Assistant (Surgical)
1625 SE 3RD AVE STE 300
FORT LAUDERDALE, FL 33316
Broward County (954) 355-4665
BRET LESLIE SHARF PA-C
Physician Assistant
1625 SE 3RD AVE STE 300
FORT LAUDERDALE, FL 33316
Broward County (954) 355-5001

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 Matthew Kenick's NPI number?

The NPI number for Matthew Kenick is 1922051614. It was assigned to this individual provider in the NPPES registry on May 17, 2006.

Where is Matthew Kenick located?

Matthew Kenick practices at 1625 SE 3rd Ave Ste 300, Fort Lauderdale, FL 33316. The listed phone number is (954) 355-4665.

What is Matthew Kenick's specialty?

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

Is Matthew Kenick enrolled in Medicare?

Yes. Matthew Kenick is registered in the Medicare PECOS enrollment system.

What insurance does Matthew Kenick accept?

Health plans from AvMed list Matthew Kenick 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 Matthew Kenick was last updated on July 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.