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Deactivated NPI 1992933717 Deactivated / Inactive NPI Male Practitioner

Kenneth Jass , BSN

Registered Nurse • Kenai, AK

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Kenneth Jass has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date July 01, 2009
NPI Deactivation Date August 27, 2021
Total Practice Duration ~12 Years of Practice (2009 – 2021)

Professional Overview & Biography Verified Profile Summary

Kenneth Jass, BSN was a registered Registered Nurse practicing in Kenai, AK. Throughout an active medical career spanning 12 years, Kenneth Jass provided care at the practice location at 630 BARNACLE WAY until profile deactivation on 2021-08-27.

Practice Location & Contact Primary Location

Practice Address

630 Barnacle Way
Suite A

Kenai, AK 996117732

Telephone 9073353400

Specialty Benchmarks & Practice Insights

Comparative analytics for Registered Nurse in Kenai, AK

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 3.0 Yrs
Regional Practice Density
10 Specialists

Practicing in Kenai, AK (1240 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Registered Nurse Primary Specialty

NUCC Taxonomy Code: 163W00000X

State License NY 490395

(1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

6 Associated Practitioners
Amanda Mckinley , RN

Registered Nurse - Community Health

NPI 1013433259

Registered Nurse

Patricia Little

Registered Nurse

NPI 1134513575
NPI 1295234102

REGISTEREDNURSE

Kaylee Lazaro , RN

Registered Nurse - Community Health

NPI 1578089710

Registered Nurse

Christina Kilby , MSN, MPH, NP-C, APRN

Nurse Practitioner - Family

NPI 1588813687

Master of Science in Nursing, Master of Public Health, Nurse Practitioner (Certified), Advanced Practice Registered Nurse

Sherra Pritchard

Registered Nurse

NPI 1649665001

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated August 27, 2021

Record deactivated on August 27, 2021

NPI Profile Active March 24, 2015

NPI status registered as active in NPPES database

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Updated Practice Location March 24, 2015

Registered at 630 BARNACLE WAY, SUITE A, KENAI, AK 996117732 (Tel: 9073353400)

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Updated Business Mailing Address March 24, 2015

Registered at 630 BARNACLE WAY, SUITE A, KENAI, AK 996117732 (Tel: 9073353400)

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Provider Name / Credentials Updated March 24, 2015

Recorded as KENNETH JASS, BSN

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Medical Taxonomy / Specialty Registered (Primary Specialty) March 24, 2015

Registered Nurse (License #490395 in NY)

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Initial NPI Registration & Enumeration July 01, 2009

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1992933717
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 01, 2009
Last Update: March 24, 2015
Deactivation Date: August 27, 2021

Mailing Address

630 Barnacle Way, Suite A

Kenai, AK 996117732

Phone: 9073353400

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.