Individual provider Active NPI

Kendra Brianne Keene, MS, PA-C

  • Surgical Physician Assistant
  • Denver, CO
National Provider Identifier
1649551045
Registry record updated Jul 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
PA.0003789 Issued in CO
Practice address
5870 Ceylon St # C-108
Denver, CO 80249-6746
Phone
(316) 250-5999
NPI assigned
Aug 30, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X PA.0003789 CO Primary
Physician Assistant 363A00000X PA.0003789 CO

Addresses

Primary practice location

5870 Ceylon St # C-108
Denver, CO 80249-6746

Mailing address

5870 Ceylon St # C-108
Denver, CO 80249-6746
Phone (316) 250-5999

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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
I20140417000020 CO Practitioner - Physician Assistant 6608008040 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

111 6TH St
Hugo, CO 80821-2002

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science, Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Lincoln Community Hospital CurrentSince Mar 3, 2026 Accepting new patients
Valley-Wide Health Systems, Inc CurrentSince Dec 29, 2025 Accepting new patients
Valley-Wide Health Systems, Inc. CurrentSince Dec 29, 2025 Accepting new patients
Lincoln Community Hospital CurrentSince Mar 3, 2026 Accepting new patients

Locations

128 Market St
Alamosa, CO 81101
Phone (719) 587-1001

1131 Main St
Alamosa, CO 81101
Phone (719) 589-2562

404 E Front St
Byers, CO 80103
Phone (303) 388-2922

1012 Belmont Ave
La Junta, CO 81050
Phone (719) 383-5500

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.

NPI Registry JSON

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

{
    "created_epoch": "1314662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719878400000",
    "number": "1649551045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5870 CEYLON ST # C-108",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802496746",
            "telephone_number": "316-250-5999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5870 CEYLON ST # C-108",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802496746",
            "telephone_number": "316-250-5999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEENE",
        "first_name": "KENDRA",
        "middle_name": "BRIANNE",
        "name_prefix": "Ms.",
        "credential": "MS, PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-30",
        "last_updated": "2024-07-02",
        "certification_date": "2024-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "CO",
            "license": "PA.0003789",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CO",
            "license": "PA.0003789",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

Verify at the official NPI Registry.