MICHAEL J KENNEDY D.C., P.A.
NPI 1518141027
Clinic/Center - Primary Care in Eden Prairie, MN

Active since December 19, 2007
6409 CITY WEST PARKWAY, SUITE 105, EDEN PRAIRIE, MN 55344(952) 833-3038 Get Directions Write a Review

NPPES record last updated: December 19, 2007. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Michael J Kennedy D.c., P.a. NPPES

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

MICHAEL J KENNEDY D.C., P.A. (NPI 1518141027) is a healthcare organization registered as a primary care in Eden Prairie, Minnesota and active in the NPI registry since December 2007. The organization lists Michael John Kennedy, President/vice-president/treasurer, as its authorized official.

NPPES Registry Identity

NPI1518141027
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameMICHAEL J KENNEDY D.C., P.A.
Location Address6409 CITY WEST PARKWAY, SUITE 105Eden Prairie, MN 55344
Mailing Address12105 41st Ave North, Apt 118Plymouth, MN 55441 · (612) 387-5864
Organization SubpartNo
Authorized OfficialMichael John KennedyPresident/vice-president/treasurer · (612) 387-5864
Enumeration DateDecember 19, 2007
✔ NPI 1518141027 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
License✔ Licensed in MN · 4999
6409 CITY WEST PARKWAY, Eden Prairie, MN 55344

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Michael J Kennedy D.c., P.a. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Michael J Kennedy D.C., P.A., which bills Medicare for the services this clinician delivers.

Clinician (1)

Chiropractic
NPI 1639358088
12105 41ST AVE N APT 118
Plymouth, MN 55441
(952) 607-6416
✔ Accepts Medicare9.8 mi

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

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 Michael J Kennedy D.C., P.A.'s NPI number?

The NPI number for Michael J Kennedy D.C., P.A. is 1518141027. It was assigned to this organization in the NPPES registry on December 19, 2007.

Where is Michael J Kennedy D.C., P.A. located?

Michael J Kennedy D.C., P.A. is located at 6409 City West Parkway Suite 105, Eden Prairie, MN 55344. The listed phone number is (952) 833-3038.

What is Michael J Kennedy D.C., P.A.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Is Michael J Kennedy D.C., P.A. enrolled in Medicare?

Yes. Michael J Kennedy D.C., P.A. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Michael J Kennedy D.C., P.A.?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Chiropractic) reassigns their Medicare billing to Michael J Kennedy D.C., P.A.. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Michael J Kennedy D.C., P.A. accept?

Health plans from HealthPartners list Michael J Kennedy D.C., P.A. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Michael J Kennedy D.C., P.A. was last updated on December 19, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.