Individual provider Active NPI

Angela S Kenney, PA-C

  • Medical Physician Assistant
  • Scottsdale, AZ
National Provider Identifier
1225090897
Registry record updated Nov 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
Practice address
8501 N Scottsdale Rd
Ste. 150
Scottsdale, AZ 85253-2750
Phone
(480) 946-7939
Fax
(480) 946-5258
NPI assigned
Apr 6, 2006
Last updated
Nov 4, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X AZ Primary
Specialist 174400000X 3215 AZ

Addresses

Primary practice location

8501 N Scottsdale Rd
Ste. 150
Scottsdale, AZ 85253-2750

Mailing address

7085 W Andrew LN
Peoria, AZ 85383-3039
Phone (623) 455-9063

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051011000290 AZ Practitioner - Physician Assistant 5092730853 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pinnacle Dermatology SCGroup PAC ID 8628353380, 145 clinicians

Practice addresses (Care Compare)

13640 N 99TH Ave
Suite 300
Sun City, AZ 85351-0001
Phone (623) 875-2600

14418 W Meeker Blvd
Suite 106
Sun City West, AZ 85375-5290
Phone (480) 696-7163

4444 N 32ND St
Suite 110
Phoenix, AZ 85018-3956
Phone (480) 750-2450

5651 W Talavi Blvd
Suite 150
Glendale, AZ 85306-1882
Phone (480) 948-8401

Merit-based Incentive Payment System (MIPS)

Final score
89.8 of 100Reported as group
Promoting interoperability
88
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
3215AZMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
University Dermatology, Inc. PastSince Jan 1, 2007 Accepting new patients
Pinnacle Dermatology, SC Past Accepting new patients
Ultimate Urgent Care Centers Past Accepting new patients
Jennifer Linder MD PLLC Specialist PastSince Aug 1, 2011 Accepting new patients
All Dermatology, Inc. Past Accepting new patients
Cynthia J Price MD PLLC Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: angela.kenney@398008301912068.direct.elationemr.com

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1144281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667520000000",
    "number": "1225090897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7085 W ANDREW LN",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853833039",
            "telephone_number": "623-455-9063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8501 N SCOTTSDALE RD",
            "address_2": "STE. 150",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852532750",
            "telephone_number": "480-946-7939",
            "fax_number": "480-946-5258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENNEY",
        "first_name": "ANGELA",
        "middle_name": "S",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-06",
        "last_updated": "2022-11-04",
        "certification_date": "2022-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "AZ",
            "license": null,
            "primary": true
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "AZ",
            "license": "3215",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

Verify at the official NPI Registry.