Wendy L Kenner, PA

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

2199 Issued in CO

Practice address

2551 W 84TH Ave
Westminster, CO 80031-3807

Phone

(720) 255-2953

NPI assigned

Aug 11, 2006

Last updated

Apr 14, 2015By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Wendy L Kenner, LLC

  • Physician Assistant
  • Westminster, CO
  • NPI 1902203821
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1155254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1428969600000",
    "number": "1134130396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1802",
            "city": "BERTHOUD",
            "state": "CO",
            "postal_code": "805131802",
            "telephone_number": "720-255-2953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2551 W 84TH AVE",
            "city": "WESTMINSTER",
            "state": "CO",
            "postal_code": "800313807",
            "telephone_number": "720-255-2953"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENNER",
        "first_name": "WENDY",
        "middle_name": "L",
        "name_prefix": "Ms.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-11",
        "last_updated": "2015-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "CO",
            "license": "2199",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "42121540",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPIN",
            "identifier": "527213",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kariann Kelly, RBT
• Meredith Diane Kelly, LCSW
• Kate Elizabeth Kelsey, MA, LMFT
• Kaitlin Ann Kennedy
• Yana Kennedy, APN
• Margaret Ellen Kerrigan, MA, LPC
• Aaron Roberts Ketchum, PSY.D.
• Molly J Kett, PT, DPT
• Key to Speech Therapy, LLC
• Keystone Federal, LLC

• Surgical Physician Assistant in Westminster, CO
• Providers in Westminster, CO by specialty
• Surgical Physician Assistant in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.