Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

KEENA CHANELLE KENNEDY PA-C
NPI 1336180967
Physician Assistant - Medical in Philadelphia, PA

Q: What is Keena Kennedy's NPI number?

The NPI number for Keena Kennedy is 1336180967. It was assigned to this individual provider in the NPPES registry on June 8, 2006.

Q: What is Keena Kennedy's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Q: When was this NPI record last updated?

The NPPES record for Keena Kennedy was last updated on July 13, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since June 08, 2006PECOS Enrolled

2501 W LEHIGH AVE, PHILADELPHIA, PA 19132(215) 227-0300(215) 227-0302 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Keena Chanelle Kennedy Pa-c NPPES

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

KEENA CHANELLE KENNEDY PA-C (NPI 1336180967) is an individual medical provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (MA052029) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS, is affiliated with Thomas Jefferson University Hospital, and is a graduate of Other (2004).

NPPES Registry Identity

NPI1336180967

Entity TypeIndividualFemale

Primary Taxonomy363AM0700X

Provider Legal NameKEENA CHANELLE KENNEDYCredential: PA-C

Location Address2501 W LEHIGH AVEPhiladelphia, PA 19132-3207

Mailing Address2501 W Lehigh AvePhiladelphia, PA 19132-3207 · (215) 227-0300 · Fax (215) 227-0302

Phone(215) 227-0300

Fax(215) 227-0302

Sole ProprietorNo

Medical School CMSOtherGraduated 2004

Enumeration DateJune 8, 2006

Last NPPES UpdateJuly 13, 2026

✔ NPI 1336180967 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

License✔ Licensed in PA · MA052029

2501 W LEHIGH AVE, Philadelphia, PA 19132

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware.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

Keena Chanelle 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 ID3476578832

PECOS Enrollment IDI20051014000021

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

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

24 services15 patients

Hospital Affiliations CMS Care Compare

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

Thomas Jefferson University Hospital

Acute Care Hospitals · Philadelphia, PA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390174

Location111 South 11th StreetPhiladelphia, PA 19107 · Philadelphia County

Emergency services Birthing friendly

Referred Medical Equipment & Supplies CMS DME claims 2

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

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

1 supplier19 claims19 services$14.05 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

2 suppliers24 claims24 services$64.71 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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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.

MS. BETHANY L. FISHER LDN

Dietitian, Registered