Kenneth Richard Phelps, PA-C
Physician Assistant · Jacksonville, FL
Kenneth Richard Phelps, PA-C is a physician assistant with a practice address in Jacksonville, Florida, and NPI 1669807210, issued on Sep 13, 2013. Check the license (Florida PA9107403, as entered in NPPES) on the Florida health license search; the Medicare figures below come from public CMS files.
- Name
- Kenneth Richard Phelps
- Credential
- PA-C
- Primary taxonomy
- Physician Assistant 363A00000X
- License number
- PA9107403 FL
Self-reported in NPPES; status is on the state search - Practice location
- 3599 University Blvd S, Jacksonville, FL 32216
- Phone
- (904) 399-5550
- Enumerated
- Sep 13, 2013
- Record last updated
- Feb 26, 2021 (not updated in 5 years: call before relying on the address or phone)
- Fax
- (904) 346-4334
- Medicare enrollment
- Enrolled (PECOS I20170724001546); accepts Medicare assignment
- Medical or professional school
- At Still University, Arizona School Of Dentistry & Oral Hlth, 2013
- Entity
- Type 1 · individual
8 nearest physician assistant records → All 10,257 in Florida → Look up another NPI →
Also registered at 3599 University Blvd S
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Mark Abramson, M.D.Urology Physician1629030044
- Melanie Adams, APRNFamily Nurse Practitioner1245456946
- Elizabeth Ade, PTPhysical Therapist1285884973
- Faye Akin, PTPhysical Therapist1447135546
- Mary Alderman, MDDiagnostic Radiology Physician1093737306
- Carlos Aquino-Aponte, MDDiagnostic Radiology Physician1295757508
Verify Kenneth Richard Phelps in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersFlorida health license search
Search for license PA9107403Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
The practice group's MIPS final score for 2023 (Medicare payment program): 88.5 of 100
The Merit-based Incentive Payment System score is reported for the practice group, not for one clinician alone. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.
Source: CMS Quality Payment Program, MIPS performance year 2023, group reporting; category weights for 2023 (qpp.cms.gov).
Industry payments in 2024: $23.63
1 payment: food and beverage; the largest payer was Medtronic, Inc. The 64,719 providers of this specialty with any payment received $841.65 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.
Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.
Bills Medicare through one group practice
- Summit Radiology Services P CStockbridge, GA
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Kenneth Richard Phelps among 10,257 physician assistant records in Florida
Kenneth Richard Phelps, PA-C is one of 10,257 physician assistant records with a practice address in Florida. 77% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2013, is newer than 33% of them.
- NPI issued2013 · 33% of these records are older, 64% newer
- In a Medicare fileYes · 77% of these records are
- In the CMS Doctors and Clinicians fileYes · 57% of these records are
- Graduated2013 · median 2018 among the 5,867 with a school on file
- Record last updated2021 · 37% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 363A00000X and a Florida practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
842 physician assistant records list a practice address in Jacksonville
They are 842 of the 24,194 NPPES records with a practice address in Jacksonville, and 10,257 physician assistant records in Florida.
All 10,257 in Florida → Every provider in Jacksonville → Physician Assistant nationwide →
The 8 physician assistant records with the nearest ZIP codes
- Pamela Buday, PAJacksonville, FL 322161093728016
- Wendy Chambers, PA-CJacksonville, FL 322161417923822
- Greg Cloud, P.A. - CJacksonville, FL 322161275520876
- Randi Cooperman, PA-CJacksonville, FL 322161164401097
- Nancy Crain, PAJacksonville, FL 322161053386722
- Kathryn Degoursey, PA-CJacksonville, FL 322161659384766
- Cynthia Demola, PAJacksonville, FL 322161720020167
- Marjorie Dougherty, MSJacksonville, FL 322161467433698
Common questions
What is Kenneth Richard Phelps, PA-C's NPI number?
Kenneth Richard Phelps, PA-C's National Provider Identifier (NPI) is 1669807210, issued on Sep 13, 2013. An NPI identifies a provider in billing; it is not a license.
Where is Kenneth Richard Phelps, PA-C located?
The NPPES record lists a practice address at 3599 University Blvd S, Jacksonville, FL, 32216. Phone: (904) 399-5550. Providers update this record themselves, so call before visiting.
How can I verify Kenneth Richard Phelps, PA-C's license?
NPPES lists Florida license number PA9107403, as entered by the provider. Search the Florida health license search at https://mqa-internet.doh.state.fl.us/mqasearchservices/healthcareproviders. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
What is Kenneth Richard Phelps, PA-C's MIPS final score?
The 2023 MIPS final score is 88.5 of 100, reported for the practice group. The average among 454,083 clinicians with a measured score was 83.5.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.