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HENRIETTE KENFACK
NPI 1972477032
Nurse Practitioner - Family in El Cerrito, CA

Active since October 01, 2025PECOS Enrolled
11461 SAN PABLO AVE # 153, EL CERRITO, CA 94530(425) 516-2657 Get Directions Write a Review

NPPES record last updated: October 1, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Henriette Kenfack NPPES

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

HENRIETTE KENFACK (NPI 1972477032) is an individual family provider in El Cerrito, California, licensed in California (95037301) and active in the NPI registry since October 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1972477032
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameHENRIETTE KENFACK
Location Address11461 SAN PABLO AVE # 153El Cerrito, CA 94530-1916
Mailing Address11461 San Pablo Ave # 153El Cerrito, CA 94530-1916 · (425) 516-2657
Phone(425) 516-2657
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateOctober 1, 2025
NPPES CertifiedOctober 1, 2025
✔ NPI 1972477032 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 CA · 95037301
11461 SAN PABLO AVE # 153, El Cerrito, CA 94530
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Henriette Kenfack is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6901366236
PECOS Enrollment IDI20260904003388
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.

Medicare Billing Reassignment

Medicare enrollment records show Henriette Kenfack reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Community Health Centers Of America
86 mi
Federally Qualified Health Center (FQHC)
554 5TH ST
Gustine, CA 95322
  • Reassigned Medicare billing, California enrollment
  • 179 clinicians in this Medicare group
NPI 1245105733 (209) 733-9360

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 94530 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
$104.51 typical visit price
range $69.00 – $202.35
Typical copayment $26.12 (range $17.25 – $50.58)
Most-billed visit code 99203
Established Patient
$119.48 typical visit price
range $23.44 – $166.46
Typical copayment $29.87 (range $5.86 – $41.61)
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.

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 Henriette Kenfack's NPI number?

The NPI number for Henriette Kenfack is 1972477032. It was assigned to this individual provider in the NPPES registry on October 1, 2025.

Where is Henriette Kenfack located?

Henriette Kenfack practices at 11461 San Pablo Ave # 153, El Cerrito, CA 94530. The listed phone number is (425) 516-2657.

What is Henriette Kenfack's specialty?

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

Is Henriette Kenfack enrolled in Medicare?

Yes. Henriette Kenfack is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Henriette Kenfack's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Henriette Kenfack reassigns Medicare benefits to Community Health Centers Of America (Gustine, CA). The 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 Henriette Kenfack's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Henriette Kenfack was last updated on October 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.