JILL KENNEDY PMHNP-BC
NPI 1275904419
Nurse Practitioner - Psychiatric/Mental Health in Massena, NY

Q: What is Jill Kennedy's NPI number?

The NPI number for Jill Kennedy is 1275904419. It was assigned to this individual provider in the NPPES registry on October 14, 2015.

Q: What is Jill Kennedy's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Q: When was this NPI record last updated?

The NPPES record for Jill Kennedy was last updated on August 21, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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 October 14, 2015PECOS EnrolledAccepts Medicare Assignment

95.38/100

CMS Quality Rating

16 PHILLIPS ST, MASSENA, NY 13662(518) 764-8076(315) 764-8079 Get Directions Write a Review

NPPES record last updated: August 21, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 21, 2024, Jul 25, 2024, Aug 27, 2021 (3 updates tracked since 2021).

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About Jill Kennedy Pmhnp-bc NPPES

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

JILL KENNEDY PMHNP-BC (NPI 1275904419) is an individual psychiatric/mental health provider in Massena, New York, licensed in New York (403653) and active in the NPI registry since October 2015. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1275904419

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameJILL KENNEDYCredential: PMHNP-BC

Location Address16 PHILLIPS STMassena, NY 13662-2016

Mailing AddressPo Box 608Malone, NY 12953-0608 · (518) 651-2302

Phone(518) 764-8076

Fax(315) 764-8079

Sole ProprietorNo

Medical School CMSOtherGraduated 2021

Enumeration DateOctober 14, 2015

Last NPPES UpdateAugust 21, 20243 updates tracked since enumeration

NPPES CertifiedAugust 21, 2024

✔ NPI 1275904419 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in NY · 403653

Also ListedRegistered NurseTaxonomy 163W00000X · License 541605 (NY)

16 PHILLIPS ST, Massena, NY 13662

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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 and accepts Medicare assignment

Jill Kennedy Pmhnp-bc 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 ID8022414176

PECOS Enrollment IDI20210915000781

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 2

Services this provider delivered to Medicare fee-for-service patients, from the 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 with low level od decision making, if using time, 20 minutes or more 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.

33 services17 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 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.

30 services17 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 13662 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

$97.08 typical visit price

range $17.54 – $136.14

Typical copayment $24.27 (range $4.38 – $34.03)

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.

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.

95.38/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

81.26

Promoting Interoperability

99.17

Improvement Activities

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.

MICHELLE L NILES

Peer Specialist