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

Active since June 21, 2013PECOS Enrolled
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: August 02, 2026.

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

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.

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
Fax(517) 347-8420
Sole ProprietorYes
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

Other Names 1

Former Name (1)Samantha Ann Fugate

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 (PECOS)

Dr. Samantha Fugate Kennedy D.o. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 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.

Social Worker (Clinical)
1660 HASLETT RD, SUITE 1
HASLETT, MI 48840
Physical Therapist
1660 HASLETT RD, SUITE 4
HASLETT, MI 48840
Physical Therapist
1660 HASLETT RD, SUITE #4
HASLETT, MI 48840
Dentist (General Practice)
1660 HASLETT RD, STE #2
HASLETT, MI 48840
Psychologist (Clinical)
1660 HASLETT RD
HASLETT, MI 48840
Psychologist
1660 HASLETT RD, SUITE 1
HASLETT, MI 48840
Marriage & Family Therapist
1660 HASLETT RD, SUITE 1
HASLETT, MI 48840
Psychologist
1660 HASLETT RD, SUITE 1
HASLETT, MI 48840

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 enrollment system.

What insurance does Samantha Kennedy accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, McLaren Health Plan Community, Oscar Insurance Company and Priority Health and 1 other insurer 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 5 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.