Gabriel Kennedy, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA-13679 Issued in TX

Practice address

1625 Medical Center Dr
El Paso, TX 79902-5005

Phone

(915) 747-4000

NPI assigned

Dec 11, 2014

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

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

Specialty

Physician Assistant

Education

University of Nebraska College of Medicine, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Bluff Creek Emergency Medicine Associates, PAGroup PAC ID 1355605924, 79 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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

• Bluff Creek Emergency Medicine Associates, PA

  • Emergency Medicine Physician
  • El Paso, TX
  • NPI 1679071690

  Physician Assistant, TX

  Medicare reassignment Care Compare group NPD
• Pearsall Emergency Medicine Associates, PA

  • Emergency Medicine Physician
  • Horizon City, TX
  • NPI 1104326263

  Physician Assistant, TX

  Medicare reassignment NPD
• HCN Ep Horizon City, LLC

  • General Acute Care Hospital
  • El Paso, TX
  • NPI 1861994808
  NPD (past)

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

{
    "created_epoch": "1418256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761696000000",
    "number": "1356749014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1625 MEDICAL CENTER DR",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799025005",
            "telephone_number": "915-747-4000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1625 MEDICAL CENTER DR",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799025005",
            "telephone_number": "915-747-4000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3280 Joe Battle Blvd",
            "address_purpose": "LOCATION",
            "city": "El Paso",
            "state": "TX",
            "postal_code": "799382622",
            "country_code": "US",
            "telephone_number": "915-832-2000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12101 Edgemere Blvd",
            "address_purpose": "LOCATION",
            "city": "El Paso",
            "state": "TX",
            "postal_code": "799384746",
            "country_code": "US",
            "telephone_number": "915-832-2490",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KENNEDY",
        "first_name": "GABRIEL",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-12-11",
        "last_updated": "2025-10-29",
        "certification_date": "2025-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA-13679",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah E. Kemp, MD
• Sylvie Kengne
• Jennifer Nicole Kenly, AGACNP-BC
• Garry James Kennebrew Jr., M.D.
• Alison Lynne Kennedy
• Rachel Anne Kennedy, PHARMD
• Rebeca Alejandra Kennedy, NNP-BC
• Kenneth C Dzubey OD PC
• Christine Kenney, COTA
• Josephine Marie Kenney

• All providers in El Paso, TX
• Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2025; 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.

Verify at the official NPI Registry.