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KAUAI NICOLE KENNEDY-ETO M,D., MPH
NPI 1568758100
Family Medicine in Redlands, CA

Active since June 22, 2011PECOS EnrolledAccepts Medicare Assignment
1711 N. ORANGE STREET, REDLANDS, CA 92374(909) 792-2200(909) 792-2660 Get Directions Write a Review

NPPES record last updated: August 3, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Kauai Nicole Kennedy-eto M,d., Mph NPPES

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

KAUAI NICOLE KENNEDY-ETO M,D., MPH (NPI 1568758100) is an individual family medicine provider in Redlands, California, licensed in California (A127206) and active in the NPI registry since June 2011. She is enrolled in Medicare PECOS and is a graduate of Other (2010).

NPPES Registry Identity

NPI1568758100
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameKAUAI NICOLE KENNEDY-ETOCredential: M,D., MPH
Location Address1711 N. ORANGE STREETRedlands, CA 92374-2254
Mailing Address1711 N. Orange StreetRedlands, CA 92374-2254 · (909) 792-2200 · Fax (909) 792-2660
Phone(909) 792-2200
Fax(909) 792-2660
Sole ProprietorNo
Medical School CMSOtherGraduated 2010
Enumeration DateJune 22, 2011
Last NPPES UpdateAugust 3, 2015
✔ NPI 1568758100 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in CA · A127206
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedObstetrics & GynecologyTaxonomy 207V00000X · License A127206 (CA)
1711 N. ORANGE STREET, Redlands, CA 92374
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Other Names 1

Other Name (5)Kauai Nicole Kennedy

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

Kauai Nicole Kennedy-eto M,d., Mph 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 ID9133412125
PECOS Enrollment IDI20160728001286
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 3

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 straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
52 services30 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.
35 services22 patients
Annual alcohol misuse screening, 5 to 15 minutes G0442
An annual alcohol misuse screening is a 15-minute check-up to assess your drinking habits. It helps identify if you're consuming alcohol in a way that could harm your health. This is not a judgment, but a tool to promote your wellbeing.
31 services31 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92374 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
$91.88 typical visit price
range $59.60 – $179.42
Typical copayment $22.97 (range $14.90 – $44.85)
Most-billed visit code 99203
Established Patient
$104.64 typical visit price
range $19.37 – $146.42
Typical copayment $26.16 (range $4.84 – $36.60)
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.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
2 suppliers11 claims21 services$1.55 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
3 suppliers12 claims12 services$0.39 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Kauai Kennedy-eto's NPI number?

The NPI number for Kauai Kennedy-eto is 1568758100. It was assigned to this individual provider in the NPPES registry on June 22, 2011. The provider is also known as Kauai Nicole Kennedy.

Where is Kauai Kennedy-eto located?

Kauai Kennedy-eto practices at 1711 N. Orange Street, Redlands, CA 92374. The listed phone number is (909) 792-2200.

What is Kauai Kennedy-eto's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Kauai Kennedy-eto enrolled in Medicare?

Yes. Kauai Kennedy-eto 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.

When was this NPI record last updated?

The NPPES record for Kauai Kennedy-eto was last updated on August 3, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.