MRS. THERESA K KENNON FNP-BC
NPI 1962523530
Nurse Practitioner - Family in Anchorage, AK

Active since April 02, 2007PECOS EnrolledAccepts Medicare Assignment
83.23/100
CMS Quality Rating
4330 ELMORE RD, ANCHORAGE, AK 99508(907) 729-6690 Get Directions Write a Review

NPPES record last updated: February 10, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mrs. Theresa K Kennon Fnp-bc NPPES

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

MRS. THERESA K KENNON FNP-BC (NPI 1962523530) is an individual family provider in Anchorage, Alaska, licensed in Alaska (162389) and active in the NPI registry since April 2007. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1962523530
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. THERESA K KENNONCredential: FNP-BC
Location Address4330 ELMORE RDAnchorage, AK 99508-5907
Mailing Address7033 E Tudor RdAnchorage, AK 99507-1262
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateApril 2, 2007
Last NPPES UpdateFebruary 10, 2026
NPPES CertifiedFebruary 10, 2026
NPI 1962523530 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in AK · 162389
4330 ELMORE RD, Anchorage, AK 99508

Accepted 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

Mrs. Theresa K Kennon Fnp-bc 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 ID1759324171
PECOS Enrollment IDI20210712000926
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 99508 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
$111.57 typical visit price
range $71.33 – $222.64
Typical copayment $27.89 (range $17.83 – $55.66)
Most-billed visit code 99203
Established Patient
$128.73 typical visit price
range $21.84 – $181.48
Typical copayment $32.18 (range $5.46 – $45.37)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

83.23/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality77.2
Promoting Interoperability100
Improvement Activities40
Cost50.24

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.

Registered Nurse (Addiction (Substance Use Disorder))
4330 ELMORE RD
ANCHORAGE, AK 99508
Physician Assistant
4330 ELMORE RD
ANCHORAGE, AK 99508
Technician/Technologist
4330 ELMORE RD
ANCHORAGE, AK 99508
Registered Nurse
4330 ELMORE RD
ANCHORAGE, AK 99508
Nurse Practitioner
4330 ELMORE RD
ANCHORAGE, AK 99508
Registered Nurse
4330 ELMORE RD
ANCHORAGE, AK 99508
Registered Nurse
4330 ELMORE RD
ANCHORAGE, AK 99508
Physician Assistant
4330 ELMORE RD
ANCHORAGE, AK 99508

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 Theresa Kennon's NPI number?

The NPI number for Theresa Kennon is 1962523530. It was assigned to this individual provider in the NPPES registry on April 2, 2007.

Where is Theresa Kennon located?

Theresa Kennon practices at 4330 Elmore Rd, Anchorage, AK 99508. The listed phone number is (907) 729-6690.

What is Theresa Kennon's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Theresa Kennon enrolled in Medicare?

Yes. Theresa Kennon 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 Theresa Kennon accept?

Health plans from Moda Health Plan, Inc. and Premera Blue Cross Blue Shield of Alaska list Theresa Kennon 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 Theresa Kennon was last updated on February 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.