ALIXANDRA KENNEDY
NPI 1053070680
Nurse Practitioner - Family in Greenville, SC

Active since December 10, 2021PECOS EnrolledAccepts Medicare Assignment
131 COMMONWEALTH DR STE 310B, GREENVILLE, SC 29615(248) 212-9448 Get Directions Write a Review

NPPES record last updated: June 12, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 12, 2024, Dec 10, 2021 (2 updates tracked since 2021).

About Alixandra Kennedy NPPES

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

ALIXANDRA KENNEDY (NPI 1053070680) is an individual family provider in Greenville, South Carolina, licensed in South Carolina (28057) and active in the NPI registry since December 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1053070680
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameALIXANDRA KENNEDY
Location Address131 COMMONWEALTH DR STE 310BGreenville, SC 29615-4899
Mailing Address135 Gloucester Ferry RdGreenville, SC 29607-3567 · (248) 212-9448
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateDecember 10, 2021
Last NPPES UpdateJune 12, 20242 updates tracked since enumeration
NPPES CertifiedJune 12, 2024
NPI 1053070680 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in SC · 28057
Also ListedRegistered NurseTaxonomy 163W00000X · License 235016 (SC)
131 COMMONWEALTH DR STE 310B, Greenville, SC 29615

Accepted Insurance

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

Alixandra Kennedy 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 ID4082154877
PECOS Enrollment IDI20240906003911
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 29615 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
$83.18 typical visit price
range $53.57 – $163.84
Typical copayment $20.79 (range $13.39 – $40.96)
Most-billed visit code 99203
Established Patient
$95.12 typical visit price
range $16.96 – $133.52
Typical copayment $23.78 (range $4.24 – $33.38)
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

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

Nurse Practitioner (Family)
131 COMMONWEALTH DR STE 310B
GREENVILLE, SC 29615

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 Alixandra Kennedy's NPI number?

The NPI number for Alixandra Kennedy is 1053070680. It was assigned to this individual provider in the NPPES registry on December 10, 2021.

Where is Alixandra Kennedy located?

Alixandra Kennedy practices at 131 Commonwealth Dr Ste 310B, Greenville, SC 29615. The listed phone number is (248) 212-9448.

What is Alixandra Kennedy's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Alixandra Kennedy enrolled in Medicare?

Yes. Alixandra Kennedy is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Alixandra Kennedy accept?

Health plans from First Choice Next and Molina Healthcare list Alixandra Kennedy as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Alixandra Kennedy was last updated on June 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.