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KENNEDY SMITH
NPI 1467274118
Student in an Organized Health Care Education/Training Program in Dubuque, IA

Active since October 24, 2024PECOS EnrolledAccepts Medicare Assignment
2000 UNIVERSITY AVE, DUBUQUE, IA 52001(563) 589-3662 Get Directions Write a Review

NPPES record last updated: October 27, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kennedy Smith NPPES

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

KENNEDY SMITH (NPI 1467274118) is an individual student in an organized health care education/training program in Dubuque, Iowa and active in the NPI registry since October 2024. She is enrolled in Medicare PECOS, is affiliated with Mercy Medical Center - Cedar Rapids, and is a graduate of Other (2025).

NPPES Registry Identity

NPI1467274118
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameKENNEDY SMITH
Location Address2000 UNIVERSITY AVEDubuque, IA 52001
Mailing Address2000 University AveDubuque, IA 52001 · (563) 589-3662
Phone(563) 589-3662
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateOctober 24, 2024
Last NPPES UpdateOctober 27, 2024
NPPES CertifiedOctober 27, 2024
✔ NPI 1467274118 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
2000 UNIVERSITY AVE, Dubuque, IA 52001
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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

Kennedy Smith 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 ID7113400953
PECOS Enrollment IDI20260310004465
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.

Hospital Affiliations CMS Care Compare

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

Mercy Medical Center - Cedar Rapids

Acute Care Hospitals · Cedar Rapids, IA
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number160079
Location701 10th Street SECedar Rapids, IA 52403 · Linn County
Emergency services Birthing friendly

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.

EVYLIN MERYDITH
Student in an Organized Health Care Education/Training Program
2000 UNIVERSITY AVE
DUBUQUE, IA 52001
Dubuque County (563) 589-3662
LUJAYN KHOLOKI
Student in an Organized Health Care Education/Training Program
2000 UNIVERSITY AVE
DUBUQUE, IA 52001
Dubuque County (563) 589-3662
HUNTER LOVERIDGE
Student in an Organized Health Care Education/Training Program
2000 UNIVERSITY AVE
DUBUQUE, IA 52001
Dubuque County (563) 589-3000
COURTNEY SMITH
Physician Assistant
2000 UNIVERSITY AVE
DUBUQUE, IA 52001
Dubuque County (563) 589-3650
KEVIN WAYNE LOVOLD
Student in an Organized Health Care Education/Training Program
2000 UNIVERSITY AVE
DUBUQUE, IA 52001
Dubuque County (563) 589-3000
KAITLIN MORAN
Student in an Organized Health Care Education/Training Program
2000 UNIVERSITY AVE
DUBUQUE, IA 52001
Dubuque County (563) 589-3000
HANNAH GRACE MCMAHAN PA-C
Physician Assistant
2000 UNIVERSITY AVE
DUBUQUE, IA 52001
Dubuque County (563) 589-3000
MISS TEGAN SCHNEIDER PA-C
Physician Assistant (Medical)
2000 UNIVERSITY AVE
DUBUQUE, IA 52001
Dubuque County (563) 589-3662

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 Smith's NPI number?

The NPI number for Kennedy Smith is 1467274118. It was assigned to this individual provider in the NPPES registry on October 24, 2024.

Where is Kennedy Smith located?

Kennedy Smith practices at 2000 University Ave, Dubuque, IA 52001. The listed phone number is (563) 589-3662.

What is Kennedy Smith's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Kennedy Smith enrolled in Medicare?

Yes. Kennedy Smith 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.

Is Kennedy Smith affiliated with any hospitals?

According to CMS data, Kennedy Smith is affiliated with Mercy Medical Center - Cedar Rapids.

When was this NPI record last updated?

The NPPES record for Kennedy Smith was last updated on October 27, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.