Mary Katherine Kenney, PA
Mary Katherine Kenney, PA is a Medical Physician Assistant in Decatur, IL, registered under NPI 1003299082.
Getting there
Here is what surrounds this office in Decatur, based on OpenStreetMap data collected Sep 17, 2026. Parking is available about 425 ft away.
Getting here and what is nearby
Parking 343 ft ~2 min
Parking 396 ft ~2 min
Parking 425 ft ~2 min
Distances are straight‑line estimates — walking routes may be longer. Hours and phone numbers can change; call ahead to confirm.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| 085005526 | IL | Medical Physician Assistant primary |
This provider holds licence 085005526 issued in IL. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.
- Status
- Approved
- Provider type
- Practitioner - Physician Assistant
- PAC ID
- 7517276652
- Enrollment ID
- I20151012002208
Medicare enrolment is recorded as approved under the provider type Practitioner - Physician Assistant. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.
What Medical covers
Definition to come... NUCC Health Care Provider Taxonomy, code 363AM0700X
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.
| NPI | 1003299082 valid check digit |
|---|---|
| Entity type | Individual (NPI-1) |
| Enumeration date | Jul 8, 2015 |
| Last updated | Dec 13, 2023 |
| Status | Active |
| Sole proprietor | No |
| Gender | Female |
| Credential | PA |
| Practice address |
1800 E LAKE SHORE DR Decatur, IL 62521 (217) 464-2966 |
| Mailing address |
3131 N WATER ST Decatur, IL 62526 |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 0 | 0 | 3 | 2 | 9 | 9 | 0 | 8 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 0 | 0 | 3 | 4 | 9 | 9 | 0 | 7 |
Sum = 58 · next multiple of 10 = 60 · check digit = 2 · actual last digit = 2
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.