SARA MICHAEL KENNEDY FNP-C
NPI 1124899372
Nurse Practitioner - Family in Jackson, MS

Q: What is Sara Kennedy's NPI number?

The NPI number for Sara Kennedy is 1124899372. It was assigned to this individual provider in the NPPES registry on January 15, 2024.

Q: What is Sara Kennedy's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Sara Kennedy was last updated on April 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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 January 15, 2024PECOS Enrolled

971 LAKELAND DR STE 1250, JACKSON, MS 39216(601) 200-5955(601) 200-5939 Get Directions Write a Review

NPPES record last updated: April 28, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Sara Michael Kennedy Fnp-c NPPES

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

SARA MICHAEL KENNEDY FNP-C (NPI 1124899372) is an individual family provider in Jackson, Mississippi, licensed in Mississippi (907788) and active in the NPI registry since January 2024. She is enrolled in Medicare PECOS, maintains a secondary practice location in Madison, and is a graduate of Other (2025).

NPPES Registry Identity

NPI1124899372

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameSARA MICHAEL KENNEDYCredential: FNP-C

Location Address971 LAKELAND DR STE 1250Jackson, MS 39216-4609

Mailing Address5959 S Sherwood Forest BlvdBaton Rouge, LA 70816-6038 · (601) 200-5955 · Fax (225) 765-9196

Phone(601) 200-5955

Fax(601) 200-5939

Sole ProprietorYes

Medical School CMSOtherGraduated 2025

Enumeration DateJanuary 15, 2024

Last NPPES UpdateApril 28, 2026

NPPES CertifiedApril 28, 2026

✔ NPI 1124899372 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 MS · 907788

Also ListedRegistered NurseTaxonomy 163W00000X · License 923661 (MS)

971 LAKELAND DR STE 1250, Jackson, MS 39216

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Secondary Practice Location 1

Location 11073 US-51, Suite 101Madison, MS 39110 · Phone (601) 707-3281

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sara Michael Kennedy Fnp-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID648758144

PECOS Enrollment IDI20260127003140

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 39216 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

$80.50 typical visit price

range $51.65 – $159.18

Typical copayment $20.12 (range $12.91 – $39.79)

Most-billed visit code 99203

Established Patient

$92.20 typical visit price

range $16.15 – $129.61

Typical copayment $23.05 (range $4.03 – $32.40)

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 16

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

DR. JOHN ADRIAN LANCON M.D.

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