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JESSICA KENNEDY
NPI 1093456865
Internal Medicine in Harrison, NY

Active since April 05, 2022PECOS EnrolledAccepts Medicare Assignment
450 MAMARONECK AVE STE 200, HARRISON, NY 10528(191) 455-6496 Get Directions Write a Review

NPPES record last updated: October 15, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Sep 8, 2025, Apr 5, 2022 (2 updates tracked since 2022).

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, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignment

Medicare enrollment records show Jessica Kennedy reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

New York University
1,058 mi
Cardiovascular Disease
3301 QUANTUM BLVD
Boynton Beach, FL 33426
  • Reassigned Medicare billing, New York enrollment
  • 7,712 clinicians in this Medicare group
NPI 1285826438 (877) 648-2964

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 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
450 MAMARONECK AVE STE 200
HARRISON, NY 10528
Westchester County (888) 636-7840
BRANDON JOSEPH ERICKSON M.D.
Orthopaedic Surgery
450 MAMARONECK AVE STE 200
HARRISON, NY 10528
Westchester County (800) 321-9999
NEW YORK UNIVERSITY
Internal Medicine
450 MAMARONECK AVE STE 200
HARRISON, NY 10528
Westchester County (914) 556-4960
TYLER WILLIAM DIXON
Physician Assistant
450 MAMARONECK AVE STE 200
HARRISON, NY 10528
Westchester County (888) 636-7840
ERIC LAURENCE GROSSMAN M.D.
Orthopaedic Surgery (Adult Reconstructive Orthopaedic Surgery)
450 MAMARONECK AVE STE 200
HARRISON, NY 10528
Westchester County (800) 321-9999
GENNARO R BONFIGLIO MS, LAT, ATC
Specialist/Technologist (Athletic Trainer)
450 MAMARONECK AVE STE 200
HARRISON, NY 10528
Westchester County (800) 321-9999

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 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.

Where is Jessica Kennedy located?

Jessica Kennedy practices at 450 Mamaroneck Ave Ste 200, Harrison, NY 10528. The listed phone number is (191) 455-6496.

What is Jessica Kennedy's specialty?

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

Is Jessica Kennedy enrolled in Medicare?

Yes. Jessica 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.

Which organization bills Medicare for Jessica Kennedy's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jessica Kennedy reassigns Medicare benefits to New York University (Boynton Beach, FL). 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 Jessica Kennedy'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 Jessica Kennedy was last updated on October 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.