Individual provider Active NPI

Kenneth R Duncan, ARNP

  • Acute Care Nurse Practitioner
  • Bradenton, FL
National Provider Identifier
1396970646
Registry record updated Jul 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
ARNP3247142 Issued in FL
Practice address
2401 Manatee Ave W
Bradenton, FL 34205-4933
Phone
(941) 744-1336
Fax
(941) 746-3846
NPI assigned
May 15, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X ARNP3247142 FL Primary

Addresses

Primary practice location

2401 Manatee Ave W
Bradenton, FL 34205-4933

Mailing address

Matrix Pulmonary PA
2401 Manatee Ave W
Bradenton, FL 34205-4933
Phone (941) 744-1336

Other practice location 1

Tampa General Hospital
2 Columbia Drive
Tampa, FL 33601-1289
Phone (813) 844-7000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20110208000525 FL Practitioner - Nurse Practitioner 2668514589 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Walsh Family Medicine LLCGroup PAC ID 3173877909, 7 clinicians

Practice addresses (Care Compare)

4654 E State Rd
64 509
Bradenton, FL 34208-9029
Phone (941) 243-9613

Hospital & facility affiliations

  • Manatee Memorial Hospital Hospital, Bradenton, FL, CCN 100035

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
93.22
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Walsh Family Medicine LLC CurrentSince Jan 2, 2024 Accepting new patients
Em Alliance LLC CurrentSince Mar 1, 2026 Accepting new patients
Manatee Physician Alliance, LLC CurrentSince Oct 29, 2012 Accepting new patients

Locations

4654 E State Road 64
Bradenton, FL 34208
Phone (941) 243-9613

206 2nd St E
Bradenton, FL 34208
Phone (941) 745-7202

4319 20th St W
Bradenton, FL 34205
Phone (941) 744-3981

8330 Lakewood Ranch Blvd
Lakewood Ranch, FL 34202
Phone (941) 666-8757

Organizations & group practices 4

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1242345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593993600000",
    "number": "1396970646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "MATRIX PULMONARY PA",
            "address_2": "2401 MANATEE AVE W",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342054933",
            "telephone_number": "941-744-1336",
            "fax_number": "941-746-3846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2401 MANATEE AVE W",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342054933",
            "telephone_number": "941-744-1336",
            "fax_number": "941-746-3846"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Tampa General Hospital",
            "address_2": "2 Columbia Drive",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336011289",
            "country_code": "US",
            "telephone_number": "813-844-7000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DUNCAN",
        "first_name": "KENNETH",
        "middle_name": "R",
        "name_prefix": "Mr.",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-05-15",
        "last_updated": "2020-07-06",
        "certification_date": "2020-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "FL",
            "license": "ARNP3247142",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bradenton, FL

Sources for this page

Verify at the official NPI Registry.