KEVIN HENNESSY NURSE PRACTITIONER
NPI 1023163813
Nurse Practitioner - Adult Health in Buffalo, NY
About Kevin Hennessy Nurse Practitioner NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KEVIN HENNESSY NURSE PRACTITIONER (NPI 1023163813) is an individual adult health provider in Buffalo, New York, licensed in New York (F304561-1) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS and maintains a secondary practice location in Depew.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Kevin Hennessy Nurse Practitioner is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Kevin Hennessy reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Depew, NY 14043
- Reassigned Medicare billing, New York enrollment
- 18 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 14210 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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 Kevin Hennessy's NPI number?
The NPI number for Kevin Hennessy is 1023163813. It was assigned to this individual provider in the NPPES registry on January 24, 2007.
Where is Kevin Hennessy located?
Kevin Hennessy practices at 701 Seneca St Ste 646C, Buffalo, NY 14210. The listed phone number is (716) 995-4450.
What is Kevin Hennessy's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.
Is Kevin Hennessy enrolled in Medicare?
Yes. Kevin Hennessy is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Kevin Hennessy's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kevin Hennessy reassigns Medicare benefits to Family Choice Of New York Medical PC (Depew, NY). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kevin Hennessy's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Kevin Hennessy was last updated on October 25, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Kevin Hennessy, NURSE PRACTITIONER · NPI 1023163813
Adult Health physician in Buffalo, New York. Individual provider, active in the CMS NPPES registry since January 24, 2007.
## Identity
- **NPI:** 1023163813 (Entity type: Individual)
- **Enumerated:** January 24, 2007
- **Primary specialty:** Nurse Practitioner - Adult Health · taxonomy 363LA2200X
- **State license:** F304561-1 (New York)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 701 SENECA ST STE 646C, Buffalo, NY 14210-1351
- **Phone:** (716) 995-4450
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Family Choice Of New York Medical PC (NPI 1720312754, Depew, NY), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 25, 2019
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Source: [NPI Profile](https://npiprofile.com/npi/1023163813) · Data from the CMS NPPES public registry.