KEVIN HENNESSY NURSE PRACTITIONER
NPI 1023163813
Nurse Practitioner - Adult Health in Buffalo, NY

Q: 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.

Q: What is Kevin Hennessy's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Q: 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 6 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.

Active since January 24, 2007PECOS Enrolled

701 SENECA ST STE 646C, BUFFALO, NY 14210(716) 995-4450 Get Directions Write a Review

NPPES record last updated: October 25, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 25, 2019, Oct 19, 2017 (2 updates tracked since 2017).

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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

NPI1023163813

Entity TypeIndividualMale

Primary Taxonomy363LA2200X

Provider Legal NameKEVIN HENNESSYCredential: NURSE PRACTITIONER

Location Address701 SENECA ST STE 646CBuffalo, NY 14210-1351

Mailing Address206 Lovering AveBuffalo, NY 14216-1846 · (716) 871-0580

Phone(716) 995-4450

Sole ProprietorYes

Enumeration DateJanuary 24, 2007

Last NPPES UpdateOctober 25, 20192 updates tracked since enumeration

✔ NPI 1023163813 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2200X

License✔ Licensed in NY · F304561-1

701 SENECA ST STE 646C, Buffalo, NY 14210

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Secondary Practice Location 1

Location 13332 WALDEN AVE, STE 110DEPEW, NY 14043-2400 · Phone (716) 668-7051 · Fax (716) 668-7069

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kevin Hennessy Nurse Practitioner 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 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.

New Patient

$84.93 typical visit price

range $54.87 – $166.88

Typical copayment $21.23 (range $13.71 – $41.72)

Most-billed visit code 99203

Established Patient

$97.08 typical visit price

range $17.54 – $136.14

Typical copayment $24.27 (range $4.38 – $34.03)

Most-billed visit code 99214

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.

BETH LYN VACCARELLI ANP

Nurse Practitioner (Adult Health)