DR. SAMANTHA FUGATE KENNEDY D.O.
NPI 1154760312
Psychiatry & Neurology - Child & Adolescent Psychiatry in Haslett, MI

Q: What is Samantha Kennedy's NPI number?

The NPI number for Samantha Kennedy is 1154760312. It was assigned to this individual provider in the NPPES registry on June 21, 2013. The provider is also known as Samantha Ann Fugate.

Q: What is Samantha Kennedy's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Child & Adolescent Psychiatry, with taxonomy code 2084P0804X.

Q: When was this NPI record last updated?

The NPPES record for Samantha Kennedy was last updated on February 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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 June 21, 2013PECOS EnrolledAccepts Medicare Assignment

1660 HASLETT RD, HASLETT, MI 48840(517) 347-8420(517) 347-8420 Get Directions Write a Review

NPPES record last updated: February 9, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 25, 2018, Jun 20, 2018 (2 updates tracked since 2018).

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About Dr. Samantha Fugate Kennedy D.o. NPPES

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

DR. SAMANTHA FUGATE KENNEDY D.O. (NPI 1154760312) is an individual child & adolescent psychiatry provider in Haslett, Michigan, licensed in Michigan (5101020751) and active in the NPI registry since June 2013. She is enrolled in Medicare PECOS and is a graduate of Michigan State University College Of Osteopathic Medicine (2017).

NPPES Registry Identity

NPI1154760312

Entity TypeIndividualFemale

Primary Taxonomy2084P0804X

Provider Legal NameDR. SAMANTHA FUGATE KENNEDYCredential: D.O.

Location Address1660 HASLETT RDHaslett, MI 48840-8469

Mailing Address1660 Haslett Rd Ste 1Haslett, MI 48840-8469 · (517) 347-8420 · Fax (517) 347-8420

Phone(517) 347-8420

Fax(517) 347-8420

Sole ProprietorYes

Medical School CMSMichigan State University College Of Osteopathic MedicineGraduated 2017

Enumeration DateJune 21, 2013

Last NPPES UpdateFebruary 9, 20262 updates tracked since enumeration

NPPES CertifiedFebruary 9, 2026

✔ NPI 1154760312 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · Child & Adolescent PsychiatryAllopathic & Osteopathic Physicians

Taxonomy Code2084P0804X

License✔ Licensed in MI · 5101020751

Definition

Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.

1660 HASLETT RD, Haslett, MI 48840

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Other Names 1

Former Name (1)Samantha Ann Fugate

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.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

Dr. Samantha Fugate Kennedy D.o. 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 ID1850661679

PECOS Enrollment IDI20170726002725

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 Reassignments

Medicare enrollment records show Samantha Kennedy reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Edward W. Sparrow Hospital Association

2.1 mi

Family Medicine

1600 W GRAND RIVER AVE, SUITE 4
Okemos, MI 48864

Reassigned Medicare billing, Michigan enrollment
916 clinicians in this Medicare group

NPI 1437102357 (517) 381-6880

Hurley Medical Center

25 mi

Urgent Care

8759 MONROE RD
Durand, MI 48429

Reassigned Medicare billing, Michigan enrollment
467 clinicians in this Medicare group

NPI 1962937425 (810) 262-2710

Montcalm Care Network

50 mi

Community/Behavioral Health

611 N STATE STREET
Stanton, MI 48888

Reassigned Medicare billing, Michigan enrollment
29 clinicians in this Medicare group

NPI 1710074448 (989) 831-7520

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Depression Utilization of the PHQ-9 Tool

The percentage of patients age 18 and older with the diagnosis of major depression or dysthymia who have a completed PHQ-9 during each applicable 4 month period in which there was a qualifying visit

3%40 patients

Documentation of Current Medications in the Medical Record

Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.

96%108 patients4/55-star benchmark: 100%

e-Prescribing

At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.

100%260 patients5/55-star benchmark: 99%

Patient-Specific Education

The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.

15%129 patients1/55-star benchmark: 97%

Preventive Care and Screening: Screening for Depression and Follow-Up Plan

Percentage of patients aged 12 years and older screened for depression on the date of the encounter using an age appropriate standardized depression screening tool AND if positive, a follow-up plan is documented on the date of the positive screen

29%35 patients2/55-star benchmark: 96%

Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention

Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user

Patients screenedForUse: 62% · 21 patients

57%21 patients3/55-star benchmark: 98%

Provide Patient Access

At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…

100%129 patients5/55-star benchmark: 100%

Secure Messaging

For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…

26%129 patients2/55-star benchmark: 89%

View, Download, or Transmit (VDT)

At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.

59%129 patients

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 12

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

JEANNINE M TAYLOR LMSW LLC

Social Worker (Clinical)

1660 HASLETT RD, SUITE 1
HASLETT, MI 48840

Ingham County (517) 281-6948

CARMEN SHANNON PENA-BRANSTNER PT

Physical Therapist

1660 HASLETT RD, SUITE 4
HASLETT, MI 48840

Ingham County (517) 339-4050

ELLEN WHELAN HECTOR PT

Physical Therapist

1660 HASLETT RD, SUITE #4
HASLETT, MI 48840

Ingham County (517) 339-4050

DR. RICHARD L LUDWIG DDS

Dentist (General Practice)

1660 HASLETT RD, STE #2
HASLETT, MI 48840

Ingham County (517) 339-1012

LEONARD VANDERJAGT PH.D.

Psychologist (Clinical)

1660 HASLETT RD
HASLETT, MI 48840

Ingham County (517) 349-6590

DR. DAVID JAMES FUGATE PH.D.

Psychologist

1660 HASLETT RD, SUITE 1
HASLETT, MI 48840

Ingham County (517) 347-8420

WISCONSIN LUTHERAN CHILD & FAMILY SERVICES

Marriage & Family Therapist

1660 HASLETT RD, SUITE 1
HASLETT, MI 48840

Ingham County (800) 438-1772

DAVID J FUGATE PHD PLLC

Psychologist

1660 HASLETT RD, SUITE 1
HASLETT, MI 48840

Ingham County (517) 347-8420

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 Samantha Kennedy's NPI number?

The NPI number for Samantha Kennedy is 1154760312. It was assigned to this individual provider in the NPPES registry on June 21, 2013. The provider is also known as Samantha Ann Fugate.

Where is Samantha Kennedy located?

Samantha Kennedy practices at 1660 Haslett Rd, Haslett, MI 48840. The listed phone number is (517) 347-8420.

What is Samantha Kennedy's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Child & Adolescent Psychiatry, with taxonomy code 2084P0804X.

Is Samantha Kennedy enrolled in Medicare?

Yes. Samantha 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 Samantha Kennedy's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Samantha Kennedy reassigns Medicare benefits to 3 organizations: Edward W. Sparrow Hospital Association (Okemos, MI), Hurley Medical Center (Durand, MI) and Montcalm Care Network (Stanton, MI). 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 Samantha Kennedy's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Samantha Kennedy accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 3 other insurers list Samantha 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 Samantha Kennedy was last updated on February 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.