1. Home
  2. Directory
  3. New York
  4. Massena
  5. Nurse Practitioner
  6. NPI Profile

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

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: October 18, 2026.

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

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
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignments

2

Medicare enrollment records show Jill Kennedy reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Massena Hospital Inc
0.8 mi
Critical Access
1 HOSPITAL DR
Massena, NY 13662
  • Reassigned Medicare billing, New York enrollment
  • 176 clinicians in this Medicare group
NPI 1972604460 (315) 769-4200
Citizen Advocates, Inc
30 mi
Rehabilitation, Substance Use Disorder
31 6TH ST
Malone, NY 12953
  • Reassigned Medicare billing, New York enrollment
  • 61 clinicians in this Medicare group
NPI 1780619064 (518) 483-1251

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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
Quality81.26
Promoting Interoperability99.17
Improvement Activities40

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
16 PHILLIPS ST
MASSENA, NY 13662
St. Lawrence County (315) 764-8076
JACQUELINE LOUISE SCOTT-HARDY LMSW
Social Worker
16 PHILLIPS ST
MASSENA, NY 13662
St. Lawrence County (315) 764-8076
NICOLE E STOWELL
Licensed Practical Nurse
16 PHILLIPS ST
MASSENA, NY 13662
St. Lawrence County (315) 476-8076
MS. MICHELLE ASHLEY SMOKE LMHC
Counselor (Mental Health)
16 PHILLIPS ST
MASSENA, NY 13662
St. Lawrence County (315) 764-8076
KIRSTIE ANN LAVARE
Licensed Practical Nurse
16 PHILLIPS ST
MASSENA, NY 13662
St. Lawrence County (315) 764-8076
DEBORAH SUSAN ALGUIRE RN
Registered Nurse
16 PHILLIPS ST
MASSENA, NY 13662
St. Lawrence County (315) 764-8076
SANGITA CHADHA
Health and Wellness Coach
16 PHILLIPS ST
MASSENA, NY 13662
St. Lawrence County (315) 766-6392
ALISON SWEENEY
Social Worker
16 PHILLIPS ST
MASSENA, NY 13662
St. Lawrence County (315) 764-8076

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 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.

Where is Jill Kennedy located?

Jill Kennedy practices at 16 Phillips St, Massena, NY 13662. The listed phone number is (518) 764-8076.

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.

Is Jill Kennedy enrolled in Medicare?

Yes. Jill 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.

Which organizations bill Medicare for Jill Kennedy's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jill Kennedy reassigns Medicare benefits to 2 organizations: Massena Hospital Inc (Massena, NY) and Citizen Advocates, Inc (Malone, NY). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jill Kennedy's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

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 2 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.