Active NPI
Angela S Kenney, PA-C
- Medical Physician Assistant
- Scottsdale, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- 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, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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 100
- Promoting interoperability
- 88
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3215 | AZ | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University Dermatology, Inc. | Past | Accepting new patients | |
| Pinnacle Dermatology, SC | Past | Accepting new patients | |
| Ultimate Urgent Care Centers | Past | Accepting new patients | |
| Jennifer Linder MD PLLC | Specialist | Past | Accepting new patients |
| All Dermatology, Inc. | Past | Accepting new patients | |
| Cynthia J Price MD PLLC | Past | Accepting new patients |
Interoperability endpoints
- 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.
-
- Family Medicine Physician
- Phoenix, AZ
- NPI 1164918124
-
- Dermatopathology Physician
- Phoenix, AZ
- NPI 1558525824
-
- Dermatology Physician
- Scottsdale, AZ
- NPI 1578068250
-
- Specialist
- Scottsdale, AZ
- NPI 1528106937
-
- Urgent Care Clinic/Center
- Peoria, AZ
- NPI 1356547798
-
- Clinical Medical Laboratory
- Lombard, IL
- NPI 1063088235
-
- Dermatology Physician
- Indianapolis, IN
- NPI 1033159405
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2022; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.