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JESSICA LYNN KENNEDY NP
NPI 1528797255
Nurse Practitioner - Family in Waupaca, WI

Active since June 08, 2022PECOS EnrolledAccepts Medicare Assignment
78.85/100
CMS Quality Rating
800 RIVERSIDE DR, WAUPACA, WI 54981(715) 258-1000 Get Directions Write a Review

NPPES record last updated: January 8, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jan 8, 2026, Jan 10, 2025, Apr 4, 2023 and 1 more (4 updates tracked since 2022).

About Jessica Lynn Kennedy Np NPPES

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

JESSICA LYNN KENNEDY NP (NPI 1528797255) is an individual family provider in Waupaca, Wisconsin, licensed in Wisconsin (12117) and active in the NPI registry since June 2022. She is enrolled in Medicare PECOS, is affiliated with Kau Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1528797255
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameJESSICA LYNN KENNEDYCredential: NP
Location Address800 RIVERSIDE DRWaupaca, WI 54981-1943
Mailing Address3 Neenah CtrNeenah, WI 54956-3070 · (920) 830-5900 · Fax (920) 830-5910
Phone(715) 258-1000
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateJune 8, 2022
Last NPPES UpdateJanuary 8, 20264 updates tracked since enumeration
NPPES CertifiedJanuary 8, 2026
✔ NPI 1528797255 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Licenses✔ Licensed in WI · 12117✔ Licensed in HI · APRN4162
800 RIVERSIDE DR, Waupaca, WI 54981
Open in Google Maps ↗

Secondary Practice Locations 2

Location 1100 County Road BShawano, WI 54166-7072 · Phone (715) 526-2111
Location 216-523 Keaau Pahoa RdKeaau, HI 96749-8156 · Phone (808) 932-3830

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource (Common Ground Healthcare), HealthPartners.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jessica Lynn Kennedy Np 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 ID5698159358
PECOS Enrollment IDI20220829003265, I20240918003177
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.

Medicare Billing Reassignments

13

Medicare enrollment records show Jessica Kennedy reassigns Medicare billing to 13 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Thedacare Medical Center - Waupaca, Inc.
Same address
Emergency Medicine
800 RIVERSIDE DR
Waupaca, WI 54981
  • Reassigned Medicare billing, Wisconsin enrollment
  • Also billed through NPI 1013995521 (Wisconsin)
  • 110 clinicians in this Medicare group
NPI 1780782680 (715) 258-1000
Aspirus Rhinelander & Tomahawk Hospitals & Clinics, Inc.
11 mi
Clinic/Center
205 S MAIN ST
Iola, WI 54945
  • Reassigned Medicare billing, Wisconsin enrollment
  • 935 clinicians in this Medicare group
NPI 1578232849 (715) 445-4801
Thedacare Medical Center - Wild Rose, Inc
14 mi
Critical Access
601 GROVE AVE
Wild Rose, WI 54984
  • Reassigned Medicare billing, Wisconsin enrollment
  • 28 clinicians in this Medicare group
NPI 1043263999 (920) 622-3257
Thedacare Medical Center - New London, Inc.
17 mi
Critical Access
1405 MILL ST
New London, WI 54961
  • Reassigned Medicare billing, Wisconsin enrollment
  • 56 clinicians in this Medicare group
NPI 1538127220 (920) 531-2092
Aspirus Stevens Point Hospital & Clinics, Inc.
25 mi
General Practice
3500 HOOVER RD
Stevens Point, WI 54481
  • Reassigned Medicare billing, Wisconsin enrollment
  • 619 clinicians in this Medicare group
NPI 1184082745 (715) 342-7900
Thedacare Medical Center - Shawano, Inc.
34 mi
Critical Access
100 COUNTY ROAD B
Shawano, WI 54166
  • Reassigned Medicare billing, Wisconsin enrollment
  • 70 clinicians in this Medicare group
NPI 1548260839 (715) 526-2111
Langlade Hospital - Hotel Dieu Of St Joseph Of Antigo Wisconsin
41 mi
Rural Health
375 MAIN ST
Birnamwood, WI 54414
  • Reassigned Medicare billing, Wisconsin enrollment
  • Also billed through NPI 1639187412 (Wisconsin)
  • 321 clinicians in this Medicare group
NPI 1063574184 (715) 449-2539
Mile Bluff Medical Center Inc
63 mi
Rural Health
1040 DIVISION ST
Mauston, WI 53948
  • Reassigned Medicare billing, Wisconsin enrollment
  • 189 clinicians in this Medicare group
NPI 1881930527 (608) 847-6161
Aspirus Medford Hospital & Clinics, Inc.
68 mi
Rural Health
729 PINE ST
Athens, WI 54411
  • Reassigned Medicare billing, Wisconsin enrollment
  • 376 clinicians in this Medicare group
NPI 1760912919 (715) 748-8100
Memorial Hospital, Inc
77 mi
Clinical Medical Laboratory
216 SUNSET PL, MEMORIAL HOSPITAL, INC
Neillsville, WI 54456
  • Reassigned Medicare billing, Wisconsin enrollment
  • Also billed through NPI 1346239373 (Wisconsin)
  • 1,283 clinicians in this Medicare group
NPI 1679746747 (715) 743-3101

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

Areas of Expertise CMS Part B claims 5

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
61 services60 patients
Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
40 services38 patients
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.
39 services37 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.
19 services18 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
15 services15 patients

Hospital Affiliations CMS Care Compare 4

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

Kau Hospital

Critical Access Hospitals · Pahala, HI
OwnershipGovernment - State
CMS Certification Number121301
Location1 Kamani StreetPahala, HI 96777 · Hawaii County
Emergency services

Mile Bluff Medical Center

Acute Care Hospitals · Mauston, WI
OwnershipProprietary
CMS Certification Number520109
Location1050 Division StMauston, WI 53948 · Juneau County
Emergency services Birthing friendly

Aspirus Medford Hospital & Clinics, Inc

Critical Access Hospitals · Medford, WI
OwnershipVoluntary non-profit - Private
CMS Certification Number521324
Location135 S Gibson StMedford, WI 54451 · Taylor County
Emergency services Birthing friendly

Thedacare Medical Center - Shawano

Critical Access Hospitals · Shawano, WI
OwnershipVoluntary non-profit - Private
CMS Certification Number521346
Location100 County Rd BShawano, WI 54166 · Shawano County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54981 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
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$95.41 typical visit price
range $17.40 – $133.76
Typical copayment $23.85 (range $4.35 – $33.44)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

78.85/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality66.68
Promoting Interoperability99
Improvement Activities40
Cost54.87

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.

THEDACARE MEDICAL CENTER - WAUPACA, INC.
General Acute Care Hospital (Critical Access)
800 RIVERSIDE DR
WAUPACA, WI 54981
Waupaca County (715) 258-1000
MR. BRUCE ALLEN PIERSON PT
Physical Therapist
800 RIVERSIDE DR
WAUPACA, WI 54981
Waupaca County (715) 258-1053
AMANDA DEBAUCHE OTR
Occupational Therapist
800 RIVERSIDE DR
WAUPACA, WI 54981
Waupaca County (715) 258-1053
AARON D. REINEKING PA
Physician Assistant
800 RIVERSIDE DR
WAUPACA, WI 54981
Waupaca County (715) 258-1300
THEDACARE MEDICAL CENTER - WAUPACA, INC.
General Acute Care Hospital (Critical Access)
800 RIVERSIDE DR
WAUPACA, WI 54981
Waupaca County (715) 258-1000
CHARLES D WASHINGTON M.D.
Emergency Medicine
800 RIVERSIDE DR
WAUPACA, WI 54981
Waupaca County (715) 258-1000
JASON BONFIGLIO PA
Physician Assistant
800 RIVERSIDE DR
WAUPACA, WI 54981
Waupaca County (715) 258-1000
MR. DEOGRACIAS R ESTRADA M.D.
Hospitalist
800 RIVERSIDE DR
WAUPACA, WI 54981
Waupaca County (715) 258-1000

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 Jessica Kennedy's NPI number?

The NPI number for Jessica Kennedy is 1528797255. It was assigned to this individual provider in the NPPES registry on June 8, 2022.

Where is Jessica Kennedy located?

Jessica Kennedy practices at 800 Riverside Dr, Waupaca, WI 54981. The listed phone number is (715) 258-1000.

What is Jessica Kennedy's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Jessica Kennedy enrolled in Medicare?

Yes. Jessica Kennedy 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.

Which organizations bill Medicare for Jessica Kennedy's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jessica Kennedy reassigns Medicare benefits to 13 organizations: Thedacare Medical Center - Waupaca, Inc. (Waupaca, WI), Aspirus Rhinelander & Tomahawk Hospitals & Clinics, Inc. (Iola, WI), Thedacare Medical Center - Wild Rose, Inc (Wild Rose, WI), Thedacare Medical Center - New London, Inc. (New London, WI), Aspirus Stevens Point Hospital & Clinics, Inc. (Stevens Point, WI) and 8 more organizations, listed in the Medicare section above. Each 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 Jessica Kennedy's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jessica Kennedy accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource (Common Ground Healthcare) and HealthPartners list Jessica 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.

Is Jessica Kennedy affiliated with any hospitals?

According to CMS data, Jessica Kennedy is affiliated with Kau Hospital, Mile Bluff Medical Center, Aspirus Medford Hospital & Clinics, Inc and Thedacare Medical Center - Shawano.

When was this NPI record last updated?

The NPPES record for Jessica Kennedy was last updated on January 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.