Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1396780979 Individual Practitioner Male Practitioner

Kurt W Kenoyer , PA-C

Physician Assistant • Vancouver, WA

Professional Overview & Biography Verified Profile Summary

Kurt Kenoyer, PA-C is a registered healthcare professional specializing in Physician Assistant in Vancouver, WA. Practice services are available at 6926 NE FOURTH PLAIN BLVD under active NPI credentials.

Frequently performed procedures and clinical services include new patient outpatient office visit, established patient outpatient office visit, outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

6926 Ne Fourth Plain Blvd

Vancouver, WA 986617254

Telephone 3609933000
Associated Practice Facility / Clinic
🏢 Hi School Pharmacy Inc Facility NPI 1871552455

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Vancouver, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 13.1 Yrs
State Avg: 12.1 Yrs
Regional Practice Density
208 Specialists

Practicing in Vancouver, WA (3774 Statewide)

Telehealth Adoption Rate
21.2% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
64.2% 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 (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
11 11 $264.00 $94.61

Medical Specialties & State Licenses

CMS Verified: 2022-01-31
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License WA PA10004740

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
1009425 (WA)
Medicaid State Provider ID
8415440 (WA)
Commercial Insurance / Payer ID Regence Blueshield Ins
2159KE (WA)
Commercial Insurance / Payer ID Regence Blueshield Ins
9974KE (WA)
Commercial Insurance / Payer ID Regence Blueshield Ins
9749KE (WA)
Commercial Insurance / Payer ID Regence Blueshield Ins
1599KE (WA)

Practice Associates & Co-Workers

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

40 Associated Practitioners
Reece Lindley

Counselor - Mental Health

NPI 1003309485
Kayla-Ann Hawley , LICSW, SUDP

Social Worker - Clinical

NPI 1003326190

Licensed Independent Clinical Social Worker, SUDP

Yoselyne Manrero

Counselor - Mental Health

NPI 1003408030
Alyse Wright

Counselor - Mental Health

NPI 1003471483
Theresa Harwood

Peer Specialist

NPI 1003514357
NPI 1003694126

Career & Practice History Timeline

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

9 Historical Events
📍
Updated Practice Location January 31, 2022

Registered at 6926 NE FOURTH PLAIN BLVD, VANCOUVER, WA 986617254 (Tel: 3609933000)

📍
Updated Business Mailing Address January 31, 2022

Registered at 6926 NE FOURTH PLAIN BLVD, VANCOUVER, WA 986617254 (Tel: 3609933000)

📍
Updated Practice Location February 26, 2020

Registered at 17500 SE 392ND ST, AUBURN, WA 980929705 (Tel: 2539396648)

NPI Profile Active January 02, 2013

NPI status registered as active in NPPES database

📍
Updated Practice Location January 02, 2013

Registered at 1217 MELLEN ST, CENTRALIA, WA 985311175 (Tel: 3607362875)

📍
Updated Business Mailing Address January 02, 2013

Registered at 605 SE PROSPECT ST, CHEHALIS, WA 985324308 (Tel: 3607408549)

👤
Provider Name / Credentials Updated January 02, 2013

Recorded as KURT KENOYER, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 02, 2013

Physician Assistant (License #PA10004740 in WA)

🟢
Initial NPI Registration & Enumeration June 18, 2006

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: 1396780979
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 18, 2006
Last Update: March 07, 2023
Sole Proprietor: No

Mailing Address

6926 Ne Fourth Plain Blvd

Vancouver, WA 986617254

Phone: 3609933000

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.