KENNEDY PARHAM WHNP
NPI 1043101777
Nurse Practitioner - Women's Health in Syracuse, NY

Q: What is Kennedy Parham's NPI number?

The NPI number for Kennedy Parham is 1043101777. It was assigned to this individual provider in the NPPES registry on July 11, 2025.

Q: What is Kennedy Parham's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Women's Health, with taxonomy code 363LW0102X.

Q: When was this NPI record last updated?

The NPPES record for Kennedy Parham was last updated on July 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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 July 11, 2025PECOS EnrolledAccepts Medicare Assignment

1120 E GENESEE ST, SYRACUSE, NY 13210(866) 600-6886(315) 475-5554 Get Directions Write a Review

NPPES record last updated: July 11, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Kennedy Parham Whnp NPPES

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

KENNEDY PARHAM WHNP (NPI 1043101777) is an individual women's health provider in Syracuse, New York, licensed in New York (421876) and active in the NPI registry since July 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1043101777

Entity TypeIndividualFemale

Primary Taxonomy363LW0102X

Provider Legal NameKENNEDY PARHAMCredential: WHNP

Location Address1120 E GENESEE STSyracuse, NY 13210-1994

Mailing Address114 University AveRochester, NY 14605-2992 · (315) 496-3824 · Fax (585) 546-5639

Phone(866) 600-6886

Fax(315) 475-5554

Sole ProprietorNo

Medical School CMSOtherGraduated 2024

Enumeration DateJuly 11, 2025

NPPES CertifiedJuly 11, 2025

✔ NPI 1043101777 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Women's HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LW0102X

License✔ Licensed in NY · 421876

Also ListedRegistered NurseTaxonomy 163W00000X · License 986991 (NY)

1120 E GENESEE ST, Syracuse, NY 13210

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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 and accepts Medicare assignment

Kennedy Parham Whnp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2264930734

PECOS Enrollment IDI20250813002048

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 13210 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 7

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

MRS. MARTHA GAIL ROMAN NP

Nurse Practitioner (Adult Health)