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Deactivated NPI 1528287422 Deactivated / Inactive NPI Male Practitioner

Kenneth Degner , PA

Physician Assistant • Wauconda, IL

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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 Degner has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date April 25, 2007
NPI Deactivation Date January 01, 2026
Total Practice Duration ~19 Years of Practice (2007 – 2026)

Professional Overview & Biography Verified Profile Summary

Kenneth Degner, PA was a registered Physician Assistant practicing in Wauconda, IL. Throughout an active medical career spanning 19 years, Kenneth Degner provided care at the practice location at 431 W LIBERTY ST until profile deactivation on 2026-01-01.

Historical Medicare Part B clinical services included established patient outpatient office visit, testing for presence of drug, read by direct observation, annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

431 W Liberty St

Wauconda, IL 600842452

Telephone 8475262151
Fax 8475262017
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Wauconda, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 12.6 Yrs
State Avg: 11.7 Yrs
Regional Practice Density
9 Specialists

Practicing in Wauconda, IL (4958 Statewide)

Telehealth Adoption Rate
33.3% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
62.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2020)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes
72 53 $150.00 $67.92
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
25 21 $200.00 $97.25
80305 Testing for presence of drug, read by direct observation
17 11 $100.00 $12.51
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit
12 12 $300.00 $102.54
99497 Advance care planning, first 30 minutes
12 12 $150.00 $76.60
G0444 Annual depression screening, 5 to 15 minutes
11 11 $100.00 $16.26

Medical Specialties & State Licenses

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Practice Associates & Co-Workers

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

40 Associated Practitioners
Kristine Redmond , APRN, NP-C

Nurse Practitioner - Family

NPI 1023424389

Advanced Practice Registered Nurse, Nurse Practitioner (Certified)

Ileana Schropp , FNP

Nurse Practitioner - Family

NPI 1043085301

Family Nurse Practitioner

Karen Anne Violago , NP-C

Nurse Practitioner - Family

NPI 1053800516

Nurse Practitioner (Certified)

Amy Bonfiglio , FNP-C

Nurse Practitioner - Family

NPI 1083085013

Family Nurse Practitioner (Certified)

Tabitha Gardner , APN

Nurse Practitioner

NPI 1093254443

Advanced Practice Nurse

Corrie Mcmahon , FNP

Nurse Practitioner - Family

NPI 1104423094

Family Nurse Practitioner

Career & Practice History Timeline

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

8 Historical Events
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NPI Profile Deactivated January 01, 2026

Record deactivated on January 01, 2026

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Medical Taxonomy / Specialty Registered (Primary Specialty) January 11, 2021

Physician Assistant (License #085000019 in IL)

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 431 W LIBERTY ST, WAUCONDA, IL 600842452 (Tel: 8475262151)

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Updated Business Mailing Address July 08, 2007

Registered at PO BOX 6037, WAUCONDA, IL 600846037 (Tel: 8475262151)

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Provider Name / Credentials Updated July 08, 2007

Recorded as KENNETH DEGNER, PA

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Physician Assistant

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Initial NPI Registration & Enumeration April 25, 2007

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: 1528287422
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 25, 2007
Last Update: July 08, 2007
Deactivation Date: January 01, 2026

Mailing Address

Po Box 6037

Wauconda, IL 600846037

Phone: 8475262151

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.