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KAITLYN ERIN KENNEDY
NPI 1255997581
Physician Assistant in Rochester, NY

Active since May 13, 2019PECOS Enrolled
322 LAKE AVE, ROCHESTER, NY 14608(585) 423-5800 Get Directions Write a Review

NPPES record last updated: January 28, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 28, 2020, Oct 24, 2019, May 13, 2019 (3 updates tracked since 2019).

About Kaitlyn Erin Kennedy NPPES

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

KAITLYN ERIN KENNEDY (NPI 1255997581) is an individual physician assistant in Rochester, New York, licensed in New York (024151) and active in the NPI registry since May 2019. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1255997581
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameKAITLYN ERIN KENNEDY
Location Address322 LAKE AVERochester, NY 14608-1162
Mailing Address47 East StHebron, CT 06248-1309 · (860) 682-4040
Phone(585) 423-5800
Sole ProprietorYes
Enumeration DateMay 13, 2019
Last NPPES UpdateJanuary 28, 20203 updates tracked since enumeration
✔ NPI 1255997581 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 NY · 024151
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.
322 LAKE AVE, Rochester, NY 14608
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kaitlyn Erin Kennedy 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 14608 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
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$68.57 typical visit price
range $17.54 – $136.14
Typical copayment $17.14 (range $4.38 – $34.03)
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 20

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

ANTHONY L. JORDAN HEALTH CORPORATION
Clinic/Center (Federally Qualified Health Center (FQHC))
322 LAKE AVE, BROWN SQUARE CENTER
ROCHESTER, NY 14608
Monroe County (585) 254-6480
SHEILA JOHNSTON R.D.H.
Dental Hygienist
322 LAKE AVE
ROCHESTER, NY 14608
Monroe County (585) 254-6480
HMB PHARMACY MANAGEMENT LLC
Pharmacy (Community/Retail Pharmacy)
322 LAKE AVE
ROCHESTER, NY 14608
Monroe County (585) 254-6480
KYLE ANDREWS
Physician Assistant
322 LAKE AVE
ROCHESTER, NY 14608
Monroe County (585) 254-6480
LOUISE B BENNETT M.D.
Family Medicine
322 LAKE AVE
ROCHESTER, NY 14608
Monroe County (585) 254-6480
SHAWN FELLOWS PHARM.D.
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
322 LAKE AVE
ROCHESTER, NY 14608
Monroe County (585) 721-8032
HEIDI ZINKAND M.D.
Family Medicine
322 LAKE AVE
ROCHESTER, NY 14608
Monroe County (585) 254-6480
MR. NICHOLAS ENSINGER ANTOS MD
Family Medicine
322 LAKE AVE
ROCHESTER, NY 14608
Monroe County (585) 254-6480

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 Kaitlyn Kennedy's NPI number?

The NPI number for Kaitlyn Kennedy is 1255997581. It was assigned to this individual provider in the NPPES registry on May 13, 2019.

Where is Kaitlyn Kennedy located?

Kaitlyn Kennedy practices at 322 Lake Ave, Rochester, NY 14608. The listed phone number is (585) 423-5800.

What is Kaitlyn Kennedy's specialty?

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

Is Kaitlyn Kennedy enrolled in Medicare?

Yes. Kaitlyn Kennedy is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kaitlyn Kennedy was last updated on January 28, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.