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JOHANNAH ROSE KENNEDY PA-C
NPI 1235935123
Physician Assistant in Southfield, MI

Active since February 21, 2025PECOS EnrolledAccepts Medicare Assignment
29201 TELEGRAPH RD STE 500, SOUTHFIELD, MI 48034(248) 569-5985 Get Directions Write a Review

NPPES record last updated: February 21, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Johannah Rose Kennedy Pa-c NPPES

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

JOHANNAH ROSE KENNEDY PA-C (NPI 1235935123) is an individual physician assistant in Southfield, Michigan, licensed in Michigan (5601013016) and active in the NPI registry since February 2025. She is enrolled in Medicare PECOS, maintains 4 additional practice locations, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1235935123
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameJOHANNAH ROSE KENNEDYCredential: PA-C
Location Address29201 TELEGRAPH RD STE 500Southfield, MI 48034-7648
Mailing Address29201 Telegraph Rd Ste 500Southfield, MI 48034-7648 · (248) 569-5985
Phone(248) 569-5985
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateFebruary 21, 2025
NPPES CertifiedFebruary 20, 2025
✔ NPI 1235935123 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in MI · 5601013016
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
29201 TELEGRAPH RD STE 500, Southfield, MI 48034
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Secondary Practice Locations 4

Location 126850 Providence Pkwy Ste 165Novi, MI 48374-1255 · Phone (248) 569-5985
Location 226110 Harper AveSaint Clair Shores, MI 48081-3774 · Phone (248) 569-5985
Location 327483 Dequindre Rd Ste 201Madison Heights, MI 48071-5711 · Phone (248) 569-5985
Location 431450 7 Mile RdLivonia, MI 48152-1374 · Phone (248) 569-5985

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, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Johannah Rose 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 ID42733099
PECOS Enrollment IDI20250331001812
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48034 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
$90.76 typical visit price
range $58.04 – $177.36
Typical copayment $22.69 (range $14.51 – $44.34)
Most-billed visit code 99203
Established Patient
$72.38 typical visit price
range $18.32 – $143.49
Typical copayment $18.09 (range $4.58 – $35.87)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 15

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

DR. ELLIOTT RYAN THIEME AUD.
Audiologist
29201 TELEGRAPH RD STE 500
SOUTHFIELD, MI 48034
Oakland County (248) 569-5985
DR. ROBERT THOMAS STANDRING JR. M.D.
Otolaryngology
29201 TELEGRAPH RD STE 500
SOUTHFIELD, MI 48034
Oakland County (248) 569-5985
DR. MILES ROSS NEUMANN D.O.
Otolaryngology (Otolaryngology/Facial Plastic Surgery)
29201 TELEGRAPH RD STE 500
SOUTHFIELD, MI 48034
Oakland County (248) 569-5985
ALEXANDRA SYME
Audiologist
29201 TELEGRAPH RD STE 500
SOUTHFIELD, MI 48034
Oakland County (248) 569-5985
DR. GAIL JOAN STODDART
Audiologist
29201 TELEGRAPH RD STE 500
SOUTHFIELD, MI 48034
Oakland County (248) 569-5985
DR. KELLY ELIZABETH WRIGHT AU.D.
Audiologist
29201 TELEGRAPH RD STE 500
SOUTHFIELD, MI 48034
Oakland County (248) 569-5985
SKYLAR HAYES
Audiologist
29201 TELEGRAPH RD STE 500
SOUTHFIELD, MI 48034
Oakland County (248) 569-5985
LEAH MARGARET TAPPAN
Audiologist
29201 TELEGRAPH RD STE 500
SOUTHFIELD, MI 48034
Oakland County (248) 569-5985

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 Johannah Kennedy's NPI number?

The NPI number for Johannah Kennedy is 1235935123. It was assigned to this individual provider in the NPPES registry on February 21, 2025.

Where is Johannah Kennedy located?

Johannah Kennedy practices at 29201 Telegraph Rd Ste 500, Southfield, MI 48034. The listed phone number is (248) 569-5985.

What is Johannah Kennedy's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Johannah Kennedy enrolled in Medicare?

Yes. Johannah 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 Johannah 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 2 other insurers list Johannah 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 Johannah Kennedy was last updated on February 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.