JESSICA KENNEDY - NPI 1093456865 - Internal Medicine in Harrison, NY

Q: What is Jessica Kennedy's NPI number?

The NPI number for Jessica Kennedy is 1093456865. It was assigned to this individual provider in the NPPES registry on April 5, 2022.

Q: What is Jessica Kennedy's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Q: When was this NPI record last updated?

The NPPES record for Jessica Kennedy was last updated on October 15, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Jessica Kennedy NPPES

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

JESSICA KENNEDY (NPI 1093456865) is an individual internal medicine provider in Harrison, New York, licensed in New York (340370) and active in the NPI registry since April 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1093456865

Entity TypeIndividualFemale

Primary Taxonomy207R00000X

Provider Legal NameJESSICA KENNEDY

Location Address450 MAMARONECK AVE STE 200Harrison, NY 10528-2430

Mailing Address620 Pelhamdale Ave Apt 33Pelham, NY 10803-2817

Phone(191) 455-6496

Sole ProprietorYes

Medical School CMSOtherGraduated 2021

Enumeration DateApril 5, 2022

Last NPPES UpdateOctober 15, 20252 updates tracked since enumeration

NPPES CertifiedOctober 15, 2025

✔ NPI 1093456865 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in NY · 340370

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

450 MAMARONECK AVE STE 200, Harrison, NY 10528

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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

Jessica 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 ID6608355334

PECOS Enrollment IDI20260212000202

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 10528 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

$154.28 typical visit price

range $67.40 – $203.53

Typical copayment $38.57 (range $16.85 – $50.88)

Most-billed visit code 99204

Established Patient

$117.62 typical visit price

range $21.66 – $164.45

Typical copayment $29.40 (range $5.41 – $41.11)

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 6

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

ERICK RICHARD KAZARIAN MD

Orthopaedic Surgery