Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Courtney R Kenyon, PA

Individual provider Medical Physician Assistant · NPI 1619412921

Courtney R Kenyon, PA is a Physician Assistant in Scottsdale, Arizona. Qualified in 2014, 12 years ago. Practices with Mayo Clinic Arizona, a 1,616-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Arizona and Nevada.

Years since qualifying
12
Licensed in
AZ, NV
In the registry since
2016
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

13400 E Shea Blvd
Scottsdale, AZ 85259-5499
Phone: (480) 301-8000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 10105 Banburry Cross Dr Ste 250, Las Vegas, NV 89144-6648 — (702) 360-7600

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 7802 (AZ)
Medical Physician Assistant Taxonomy 363AM0700X · Licence PA1803 (NV)

Record details

NPI number1619412921
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedDecember 21, 2016
Last updated in NPPESNovember 1, 2022
Certification dateNovember 1, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Mayo Clinic Arizona — 1616 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations6 on file with Medicare

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