SARA MICHAEL KENNEDY FNP-C
NPI 1124899372
Nurse Practitioner - Family in Jackson, MS
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, is affiliated with St Dominic-jackson Memorial Hospital, and maintains a secondary practice location in Madison.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Group Practice 1
Accepted Insurance
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
Sara Michael Kennedy Fnp-c 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.
Medicare Billing Reassignments
3Medicare enrollment records show Sara Kennedy reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Jackson, MS 39216
- Reassigned Medicare billing, Mississippi enrollment
- 136 clinicians in this Medicare group
Flowood, MS 39232
- Reassigned Medicare billing, Mississippi enrollment
- 14 clinicians in this Medicare group
Dallas, TX 75244
- Reassigned Medicare billing, Mississippi enrollment
- 202 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
St Dominic-Jackson Memorial Hospital
Acute Care Hospitals · Jackson, MSPhysician 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.
Other Providers at the Same Location NPPES 17
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
JACKSON, MS 39216
JACKSON, MS 39216
JACKSON, MS 39216
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 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.
Where is Sara Kennedy located?
Sara Kennedy practices at 971 Lakeland Dr Ste 1250, Jackson, MS 39216. The listed phone number is (601) 200-5955.
What is Sara Kennedy's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Sara Kennedy enrolled in Medicare?
Yes. Sara 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 organizations bill Medicare for Sara Kennedy's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Sara Kennedy reassigns Medicare benefits to 3 organizations: St Dominic Medical Associates LLC (Jackson, MS), Corner Clinic Urgent Care LLC (Flowood, MS) and Signify Health, LLC (Dallas, TX). Each 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 Sara Kennedy's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Sara Kennedy accept?
Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter of Alabama and Ambetter of Tennessee and 3 other insurers list Sara 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.
Is Sara Kennedy affiliated with any hospitals?
According to CMS data, Sara Kennedy is affiliated with St Dominic-Jackson Memorial Hospital.
When was this NPI record last updated?
The NPPES record for Sara Kennedy was last updated on August 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Sara Michael Kennedy, FNP-C · NPI 1124899372
Family physician in Jackson, Mississippi. Individual provider, active in the CMS NPPES registry since January 15, 2024.
## Identity
- **NPI:** 1124899372 (Entity type: Individual)
- **Enumerated:** January 15, 2024
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 907788 (Mississippi)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 971 LAKELAND DR STE 1250, Jackson, MS 39216-4609
- **Phone:** (601) 200-5955 · **Fax:** (601) 200-5939
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): St Dominic Medical Associates LLC (NPI 1285987578, Jackson, MS); Corner Clinic Urgent Care LLC (NPI 1073971792, Flowood, MS); Signify Health, LLC (NPI 1689158487, Dallas, TX) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2025
## Record status
- **NPPES last updated:** August 17, 2026
---
Source: [NPI Profile](https://npiprofile.com/npi/1124899372) · Data from the CMS NPPES public registry.