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SAMANTHA KENNEDY PA-C
NPI 1003691072
Physician Assistant in Fairfield, CT

Active since August 29, 2023PECOS Enrolled
5151 PARK AVE, MASTERS OF PHYSICIAN ASSISTANT STUDIES PROGRAM, FAIRFIELD, CT 06825(203) 989-9237 Get Directions Write a Review

NPPES record last updated: February 24, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Samantha Kennedy Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SAMANTHA KENNEDY PA-C (NPI 1003691072) is an individual physician assistant in Fairfield, Connecticut and active in the NPI registry since August 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1003691072
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameSAMANTHA KENNEDYCredential: PA-C
Location Address5151 PARK AVE, MASTERS OF PHYSICIAN ASSISTANT STUDIES PROGRAMFairfield, CT 06825
Mailing Address5151 Park Avenue, Masters Of Physician Assistant Studies ProgramFairfield, CT 06825
Phone(203) 989-9237
Sole ProprietorNo
Enumeration DateAugust 29, 2023
Last NPPES UpdateFebruary 24, 2024
NPPES CertifiedFebruary 24, 2024
✔ NPI 1003691072 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

5151 PARK AVE, Fairfield, CT 06825
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Samantha Kennedy Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06825 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$93.86 typical visit price
range $60.82 – $183.10
Typical copayment $23.46 (range $15.20 – $45.77)
Most-billed visit code 99203
Established Patient
$75.55 typical visit price
range $19.76 – $149.26
Typical copayment $18.88 (range $4.94 – $37.31)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CASEY QUINN MS, ATC, LAT
Specialist/Technologist (Athletic Trainer)
5151 PARK AVE
FAIRFIELD, CT 06825
Greater Bridgeport Planning Region (203) 365-7672
MISS ELENI PSATHAS ATC
Specialist/Technologist (Athletic Trainer)
5151 PARK AVE
FAIRFIELD, CT 06825
Greater Bridgeport Planning Region (203) 396-8109
ABBY ELIZABETH SKROVIG
Physician Assistant
5151 PARK AVE
FAIRFIELD, CT 06825
Greater Bridgeport Planning Region (605) 988-4306
LOLIA HALPERIN
Occupational Therapist
5151 PARK AVE, PITT CENTER
FAIRFIELD, CT 06825
Greater Bridgeport Planning Region (203) 396-8181
DOROTA GORCZYNSKA
Student in an Organized Health Care Education/Training Program
5151 PARK AVE
FAIRFIELD, CT 06825
Greater Bridgeport Planning Region (203) 371-7999
JULIE G ALEXANDER MSED, ATC, CSCS
Specialist/Technologist (Athletic Trainer)
5151 PARK AVE
FAIRFIELD, CT 06825
Greater Bridgeport Planning Region (203) 365-7672
KIRSTEN J PERILLO PTA
Physical Therapy Assistant
5151 PARK AVE
FAIRFIELD, CT 06825
Greater Bridgeport Planning Region (203) 396-8181
RACHEL LAUFER PT
Physical Therapist
5151 PARK AVE
FAIRFIELD, CT 06825
Greater Bridgeport Planning Region (203) 396-8181

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Samantha Kennedy's NPI number?

The NPI number for Samantha Kennedy is 1003691072. It was assigned to this individual provider in the NPPES registry on August 29, 2023.

Where is Samantha Kennedy located?

Samantha Kennedy practices at 5151 Park Ave Masters Of Physician Assistant Studies Program, Fairfield, CT 06825. The listed phone number is (203) 989-9237.

What is Samantha Kennedy's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Samantha Kennedy enrolled in Medicare?

Yes. Samantha Kennedy is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Samantha Kennedy was last updated on February 24, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.