1. Home
  2. Directory
  3. Texas
  4. Grapevine
  5. Physician Assistant
  6. NPI Profile

JUSTIN MICHAEL KENNEDY PA-C
NPI 1528415767
Physician Assistant in Grapevine, TX

Active since May 18, 2016PECOS Enrolled
2020 W ST HWY 114, SUITE 120, GRAPEVINE, TX 76051(817) 912-8300(817) 912-8310 Get Directions Write a Review

NPPES record last updated: December 4, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 4, 2025, Aug 21, 2016, May 18, 2016 (3 updates tracked since 2016).

About Justin Michael Kennedy Pa-c NPPES

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

JUSTIN MICHAEL KENNEDY PA-C (NPI 1528415767) is an individual physician assistant in Grapevine, Texas, licensed in Texas (P9256) and active in the NPI registry since May 2016. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1528415767
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameJUSTIN MICHAEL KENNEDYCredential: PA-C
Location Address2020 W ST HWY 114, SUITE 120Grapevine, TX 76051-8649
Mailing Address5845 Pinebrook DrThe Colony, TX 75056-3859 · (817) 845-5114
Phone(817) 912-8300
Fax(817) 912-8310
Sole ProprietorNo
Enumeration DateMay 18, 2016
Last NPPES UpdateDecember 4, 20253 updates tracked since enumeration
NPPES CertifiedDecember 4, 2025
✔ NPI 1528415767 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in TX · P9256
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.
Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X
2020 W ST HWY 114, Grapevine, TX 76051
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Justin Michael Kennedy Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 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.

Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
50 services49 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
14 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 76051 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
$87.20 typical visit price
range $56.47 – $171.07
Typical copayment $21.80 (range $14.11 – $42.76)
Most-billed visit code 99203
Established Patient
$70.45 typical visit price
range $18.18 – $139.68
Typical copayment $17.61 (range $4.54 – $34.92)
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 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SHANA JOHN PT, DPT
Physical Therapist
2020 W ST HWY 114
GRAPEVINE, TX 76051
Tarrant County (214) 867-6600
BAYLOR REGIONAL MEDICAL CENTER AT GRAPEVINE
Clinic/Center (Radiology)
2020 W ST HWY 114, SUITE 100
GRAPEVINE, TX 76051
Tarrant County (817) 329-2501

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 Justin Kennedy's NPI number?

The NPI number for Justin Kennedy is 1528415767. It was assigned to this individual provider in the NPPES registry on May 18, 2016.

Where is Justin Kennedy located?

Justin Kennedy practices at 2020 W St Hwy 114 Suite 120, Grapevine, TX 76051. The listed phone number is (817) 912-8300.

What is Justin Kennedy's specialty?

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

Is Justin Kennedy enrolled in Medicare?

Yes. Justin Kennedy is registered in the Medicare PECOS enrollment system.

What insurance does Justin Kennedy accept?

Health plans from Blue Cross and Blue Shield of Texas list Justin Kennedy 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 Justin Kennedy was last updated on December 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.