Shannon Marie Kenny
NPI 1033807052ActiveIndividual· Physician Assistant· Concord, NC
Physician Assistant with Carolinas Physicians Network Inc, practicing in Concord, North Carolina. In 2024 Medicare paid $15,215 for 80 patients, and Part D covered 62 of their prescriptions, 87% of them generic. Lists Carolinas Medical Center-Northeast as a hospital affiliation.
Overview
| NPI | 1033807052 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | Apr 27, 2023 |
| Last updated in NPPES | Jan 22, 2026 |
| Certified by provider | Jan 22, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | 4864 | SC |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physician Assistant (NC); Practitioner - Physician Assistant (SC) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 80 |
|---|---|
| Services billed | 253 across 9 procedure codes |
| Paid by Medicare | $15,215 |
Part D prescriptions in 2024
| Prescriptions (claims) | 62 · 64 30-day fills |
|---|---|
| Patients | 21 |
| Total drug cost | $4,020 |
| Generic share | 87% of claims |
Education and affiliations
| Graduation year | 2023 |
|---|---|
| Medicare specialty | Physician Assistant |
Medical group
- Carolinas Physicians Network IncCharlotte, NC · 2,325 clinicians
Hospital affiliation
- Carolinas Medical Center-NortheastConcord, NC
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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