ELIZABETH LYNN KENNEDY DO
NPI 1215007414
Family Medicine in Excelsior, MN

Active since November 08, 2006PECOS EnrolledAccepts Medicare Assignment
675 WATER ST, EXCELSIOR, MN 55331(952) 906-7855 Get Directions Write a Review

NPPES record last updated: February 9, 2012. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Elizabeth Lynn Kennedy Do NPPES

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

ELIZABETH LYNN KENNEDY DO (NPI 1215007414) is an individual family medicine provider in Excelsior, Minnesota, licensed in Michigan (5101015216) and active in the NPI registry since November 2006. She is enrolled in Medicare PECOS, is affiliated with Ridgeview Medical Center, and is a graduate of Kansas City University Of Med & Biosciences, College Of Osteo Med (2002).

NPPES Registry Identity

NPI1215007414
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameELIZABETH LYNN KENNEDYCredential: DO
Location Address675 WATER STExcelsior, MN 55331-3072
Mailing Address675 Water StExcelsior, MN 55331-3072 · (952) 906-7855
Sole ProprietorNo
Medical School CMSKansas City University Of Med & Biosciences, College Of Osteo MedGraduated 2002
Enumeration DateNovember 8, 2006
Last NPPES UpdateFebruary 9, 2012
NPI 1215007414 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses Licensed in MI · 5101015216 Licensed in MN · MN52471
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

675 WATER ST, Excelsior, MN 55331

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

Elizabeth Lynn Kennedy Do 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 ID4880696657
PECOS Enrollment IDI20100120000889
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 4

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 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, 30-39 minutes 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.
274 services173 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
116 services116 patients
Established patient office or other outpatient visit, 40-54 minutes 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
90 services59 patients
Established patient office or other outpatient visit, 20-29 minutes 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.
17 services16 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Ridgeview Medical Center

Acute Care Hospitals · Waconia, MN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240056
Location500 South Maple StreetWaconia, MN 55387 · Carver County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55331 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
$85.82 typical visit price
range $56.00 – $168.28
Typical copayment $21.45 (range $14.00 – $42.07)
Most-billed visit code 99203
Established Patient
$98.61 typical visit price
range $18.32 – $138.04
Typical copayment $24.65 (range $4.58 – $34.51)
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.

Referred Medical Equipment & Supplies CMS DME claims 6

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
7 suppliers15 claims35 services$5.47 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier12 claims12 services$13.07 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
4 suppliers27 claims27 services$61.09 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
2 suppliers14 claims14 services$33.06 avg. paid by Medicare
Standard wheelchair K0001
DME-Wheelchairs · category DD000N
1 supplier11 claims11 services$4.13 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
3 suppliers38 claims38 services$194.24 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Family Medicine
675 WATER ST
EXCELSIOR, MN 55331
Audiologist
675 WATER ST
EXCELSIOR, MN 55331
Family Medicine
675 WATER ST
EXCELSIOR, MN 55331
Audiologist-Hearing Aid Fitter
675 WATER ST
EXCELSIOR, MN 55331
Physician Assistant
675 WATER ST
EXCELSIOR, MN 55331
Otolaryngology
675 WATER ST
EXCELSIOR, MN 55331
Orthopaedic Surgery
675 WATER ST
EXCELSIOR, MN 55331
Audiologist
675 WATER ST
EXCELSIOR, MN 55331

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1215007414, enumerated as an "individual" on November 08, 2006.

The provider is located at 675 WATER ST EXCELSIOR, MN 55331 and the phone number is (952) 906-7855.

Family Medicine with taxonomy code 207Q00000X.

The provider might be accepting Accepts: HealthPartners and Medica. Please consult your insurance carrier or call the provider to verify.

Elizabeth Kennedy is affiliated with: RIDGEVIEW MEDICAL CENTER.