MRS. THERESA K KENNON FNP-BC
NPI 1962523530
Nurse Practitioner - Family in Anchorage, AK
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, maintains a secondary practice location in Anchorage, and is a graduate of Other (2019).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignments
2Medicare enrollment records show Theresa Kennon reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Anchorage, AK 99508
- Reassigned Medicare billing, Texas enrollment
- 459 clinicians in this Medicare group
Anchorage, AK 99508
- Reassigned Medicare billing, Texas enrollment
- 1,373 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
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.
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.
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.
Which organizations bill Medicare for Theresa Kennon's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Theresa Kennon reassigns Medicare benefits to 2 organizations: Southcentral Foundation (Anchorage, AK) and Alaska Native Tribal Health Consortium (Anchorage, AK). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Theresa Kennon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
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 8 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.
# Mrs. Theresa K Kennon, FNP-BC · NPI 1962523530
Family physician in Anchorage, Alaska. Individual provider, active in the CMS NPPES registry since April 2, 2007.
## Identity
- **NPI:** 1962523530 (Entity type: Individual)
- **Enumerated:** April 2, 2007
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 162389 (Alaska)
- **Sole proprietor:** No
## Practice location
- **Address:** 4330 ELMORE RD, Anchorage, AK 99508-5907
- **Phone:** (907) 729-6690
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Southcentral Foundation (NPI 1255881637, Anchorage, AK); Alaska Native Tribal Health Consortium (NPI 1437189339, Anchorage, AK) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2019
## Record status
- **NPPES last updated:** February 10, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1962523530) · Data from the CMS NPPES public registry.