1. Home
  2. Directory
  3. Michigan
  4. Kalamazoo
  5. Physician Assistant
  6. NPI Profile

KENNEDY PRATT
NPI 1427848407
Physician Assistant in Kalamazoo, MI

Active since May 12, 2025PECOS EnrolledAccepts Medicare Assignment
1722 SHAFFER ST, KALAMAZOO, MI 49048(269) 381-3963 Get Directions Write a Review

NPPES record last updated: April 8, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 8, 2026, May 12, 2025 (2 updates tracked since 2025).

About Kennedy Pratt NPPES

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

KENNEDY PRATT (NPI 1427848407) is an individual physician assistant in Kalamazoo, Michigan, licensed in Michigan (5601013581) and active in the NPI registry since May 2025. She is enrolled in Medicare PECOS, maintains a secondary practice location in Alvada, and is a graduate of Other (2025).

NPPES Registry Identity

NPI1427848407
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameKENNEDY PRATT
Location Address1722 SHAFFER STKalamazoo, MI 49048-1633
Mailing Address3245 Health Dr Ste 100Granger, IN 46530-1380
Phone(269) 381-3963
Sole ProprietorYes
Medical School CMSOtherGraduated 2025
Enumeration DateMay 12, 2025
Last NPPES UpdateApril 8, 20262 updates tracked since enumeration
NPPES CertifiedApril 8, 2026
✔ NPI 1427848407 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 · 5601013581
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.
1722 SHAFFER ST, Kalamazoo, MI 49048
Open in Google Maps ↗

Secondary Practice Location 1

Location 122408 Township Road 275Alvada, OH 44802-9606 · Phone (419) 348-3298

Other Identifiers 1

Medicaid1427848407MI

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

Kennedy Pratt 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 ID648754713
PECOS Enrollment IDI20260318000221
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 49048 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
$84.74 typical visit price
range $54.34 – $166.68
Typical copayment $21.18 (range $13.58 – $41.67)
Most-billed visit code 99203
Established Patient
$68.07 typical visit price
range $17.09 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
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.

WILLIAM DYER
Psychologist
1722 SHAFFER ST
KALAMAZOO, MI 49048
Kalamazoo County (269) 226-5600
PREMIER CARDIOLOGY PC
Internal Medicine (Cardiovascular Disease)
1722 SHAFFER ST, SUITE 1
KALAMAZOO, MI 49048
Kalamazoo County (269) 381-3963
DR. JOSEPH PRANO D.O.
Internal Medicine (Cardiovascular Disease)
1722 SHAFFER ST
KALAMAZOO, MI 49048
Kalamazoo County (269) 381-3963
DR. RAMONA TAN M.D.
Psychiatry & Neurology (Psychiatry)
1722 SHAFFER ST, SUITE #3
KALAMAZOO, MI 49048
Kalamazoo County (269) 337-6373
DR. ANTHONY KING
Internal Medicine (Cardiovascular Disease)
1722 SHAFFER ST, SUITE 1
KALAMAZOO, MI 49048
Kalamazoo County (269) 381-3963
SUHAIL SHEIKH M.D.
Psychiatry & Neurology (Psychiatry)
1722 SHAFFER ST, STE 3
KALAMAZOO, MI 49048
Kalamazoo County (269) 337-6373
STEPHEN NEWMAN
Marriage & Family Therapist
1722 SHAFFER ST
KALAMAZOO, MI 49048
Kalamazoo County (269) 226-5600
FRANK S SALTIEL M.D.
Internal Medicine (Interventional Cardiology)
1722 SHAFFER ST, SUITE 1
KALAMAZOO, MI 49048
Kalamazoo County (269) 381-3963

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 Kennedy Pratt's NPI number?

The NPI number for Kennedy Pratt is 1427848407. It was assigned to this individual provider in the NPPES registry on May 12, 2025.

Where is Kennedy Pratt located?

Kennedy Pratt practices at 1722 Shaffer St, Kalamazoo, MI 49048. The listed phone number is (269) 381-3963.

What is Kennedy Pratt's specialty?

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

Is Kennedy Pratt enrolled in Medicare?

Yes. Kennedy Pratt 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.

When was this NPI record last updated?

The NPPES record for Kennedy Pratt was last updated on April 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.