MR. WILTON CRAIG KENNEDY PA-C
NPI 1154475267
Physician Assistant - Medical in Roanoke, VA

Active since January 23, 2007PECOS EnrolledAccepts Medicare Assignment
2620 AVENHAM AVE SW, ROANOKE, VA 24014(540) 985-4016 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mr. Wilton Craig Kennedy Pa-c NPPES

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

MR. WILTON CRAIG KENNEDY PA-C (NPI 1154475267) is an individual medical provider in Roanoke, Virginia, licensed in Virginia (0110 001184) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS and is a graduate of Emory University School Of Medicine (1993).

NPPES Registry Identity

NPI1154475267
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameMR. WILTON CRAIG KENNEDYCredential: PA-C
Location Address2620 AVENHAM AVE SWRoanoke, VA 24014-1507
Mailing Address2620 Avenham Ave SwRoanoke, VA 24014-1507 · (540) 985-4016
Sole ProprietorNo
Medical School CMSEmory University School Of MedicineGraduated 1993
Enumeration DateJanuary 23, 2007
Last NPPES UpdateJuly 8, 2007
NPI 1154475267 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in VA · 0110 001184
2620 AVENHAM AVE SW, Roanoke, VA 24014

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

Mr. Wilton Craig Kennedy Pa-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.

PECOS PAC ID9032205836
PECOS Enrollment IDI20071009000826
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.

Areas of Expertise CMS Part B claims 12

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
219 services193 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
142 services142 patients
Detection test by immunoassay with direct visual observation for influenza virus 87804
This is a test that identifies the influenza virus in your body. It works by using an immunoassay, a method that detects the presence of the virus through an immune response. The results are directly observable, making it a quick and efficient way to diagnose flu.
116 services55 patients
Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus 87426
An immunoassay test for severe acute respiratory syndrome coronavirus is a diagnostic tool. It uses your body's immune response to detect the presence of the virus. It involves taking a sample, usually from your nose or throat, which is then analyzed in a lab for signs of the virus.
57 services54 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
52 services49 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
43 services42 patients

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 Wilton Kennedy's NPI number?

The NPI number for Wilton Kennedy is 1154475267. It was assigned to this individual provider in the NPPES registry on January 23, 2007.

Where is Wilton Kennedy located?

Wilton Kennedy practices at 2620 Avenham Ave SW, Roanoke, VA 24014. The listed phone number is (540) 985-4016.

What is Wilton Kennedy's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Wilton Kennedy enrolled in Medicare?

Yes. Wilton 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 Wilton Kennedy accept?

Health plans from Blue Cross and Blue Shield of NC list Wilton 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 Wilton Kennedy was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.