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

Kelly A Fenn, PA

Individual provider Physician Assistant · NPI 1558641118

Kelly A Fenn, PA is a Physician Assistant in Omaha, Nebraska. Qualified in 2011, 15 years ago. Practices with Unmc Physicians, a 1,484-clinician group and accepts Medicare assignment. Licensed in Nebraska.

Years since qualifying
15
Licensed in
NE
In the registry since
2011
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

988102 Nebraska Medical Ctr
Omaha, NE 68198-8102
Phone: (402) 559-4017
Fax: (402) 559-6749
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 1603 (NE)

Record details

NPI number1558641118
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorYes
NPI enumeratedAugust 26, 2011
Last updated in NPPESAugust 26, 2011

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice Unmc Physicians — 1484 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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