KENNEDIE LEWIS PA-C
NPI 1558157263
Physician Assistant in Plainfield, IL

Q: What is Kennedie Lewis's NPI number?

The NPI number for Kennedie Lewis is 1558157263. It was assigned to this individual provider in the NPPES registry on April 18, 2025.

Q: What is Kennedie Lewis's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Kennedie Lewis was last updated on July 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.

Active since April 18, 2025PECOS EnrolledAccepts Medicare Assignment

24600 W 127TH ST STE B340, PLAINFIELD, IL 60585(815) 731-9100 Get Directions Write a Review

NPPES record last updated: July 28, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Kennedie Lewis Pa-c NPPES

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

KENNEDIE LEWIS PA-C (NPI 1558157263) is an individual physician assistant in Plainfield, Illinois, licensed in Illinois (085.011206) and active in the NPI registry since April 2025. She is enrolled in Medicare PECOS, maintains a secondary practice location in Plainfield, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1558157263

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameKENNEDIE LEWISCredential: PA-C

Location Address24600 W 127TH ST STE B340Plainfield, IL 60585-9517

Mailing Address2650 Ridge Ave Ste 1223Evanston, IL 60201-1700 · (847) 570-2040

Phone(815) 731-9100

Sole ProprietorNo

Medical School CMSOtherGraduated 2024

Enumeration DateApril 18, 2025

Last NPPES UpdateJuly 28, 2025

NPPES CertifiedJuly 28, 2025

✔ NPI 1558157263 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 IL · 085.011206

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.

24600 W 127TH ST STE B340, Plainfield, IL 60585

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Secondary Practice Location 1

Location 124600 W 127th St Ste 300Plainfield, IL 60585-9507 · Phone (847) 432-5464

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.Insurance ›

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

Kennedie Lewis Pa-c 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 ID6507364387

PECOS Enrollment IDI20250811003171

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 60585 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

$93.02 typical visit price

range $59.81 – $181.38

Typical copayment $23.25 (range $14.95 – $45.34)

Most-billed visit code 99203

Established Patient

$74.38 typical visit price

range $19.15 – $147.12

Typical copayment $18.59 (range $4.78 – $36.78)

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 5

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

MS. AMY MEDLIN LCPC

Counselor (Professional)