Kenneth Phelps, PA-C
NPI 1669807210 · Physician Assistant · Jacksonville, FL
Enrolled with Medicare as Practitioner - Physician Assistant · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Kenneth Phelps, PA-C is a Physician Assistant provider in Jacksonville, FL (NPI 1669807210).
Provider details
- NPI number
- 1669807210
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Male
- Sole proprietor
- No
- License
- PA9107403 (FL)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
12 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
385 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Fluoroscopic Guidance for Insertion Or Removal of Central Vein Access Device77001 | 83 | $15 |
| Ultrasonic Guidance for Blood Vessel Access76937 | 65 | $11 |
| Aspiration of Fluid From Chest Cavity Using Imaging Guidance32555 | 44 | $89 |
| Insertion of Tunneled Central Venous Tube for Infusion (5 Years Or Older)36558 | 42 | $212 |
| Drainage of Fluid From Abdominal Cavity Using Imaging Guidance49083 | 40 | $86 |
| Use of a Drug to Induce Depression of Consciousness By Physician Performing a Procedure (5 Years Or Older), Initial 15 Minutes99152 | 27 | $10 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$24 across 1 record (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Registry dates
- Enumerated
- 2013-09-13
- Last updated
- 2021-02-26
- Certified
- 2021-02-26
Frequently asked questions
- What is Kenneth Phelps's NPI number?
- Kenneth Phelps's National Provider Identifier (NPI) is 1669807210, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kenneth Phelps's specialty?
- Kenneth Phelps is listed in the NPPES registry with a primary specialty of Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Kenneth Phelps located?
- Kenneth Phelps's practice location on file with NPPES is 3599 University Blvd S, Jacksonville, FL 32216-4252.
- What is Kenneth Phelps's phone number?
- The practice phone number listed in the NPPES registry for Kenneth Phelps is (904) 399-5550.
- Does Kenneth Phelps accept Medicare?
- Kenneth Phelps is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Kenneth Phelps's NPI active?
- Yes — Kenneth Phelps's NPI (1669807210) is active in the NPPES registry as of the last update on 2021-02-26.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.