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DR. LISA SHEA KENNEDY M.D.
NPI 1578570743
Family Medicine in Kent, WA

Active since August 01, 2006PECOS EnrolledAccepts Medicare Assignment
403 E MEEKER ST STE 200, KENT, WA 98030(253) 852-2866(253) 852-3102 Get Directions Write a Review

NPPES record last updated: March 6, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 6, 2025, Dec 13, 2024, Jan 5, 2024 and 6 more (9 updates tracked since 2017).

About Dr. Lisa Shea Kennedy M.d. NPPES

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

DR. LISA SHEA KENNEDY M.D. (NPI 1578570743) is an individual family medicine provider in Kent, Washington, licensed in Washington (MD60952683) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS, is affiliated with Sentara Leigh Hospital, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1578570743
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. LISA SHEA KENNEDYCredential: M.D.
Location Address403 E MEEKER ST STE 200Kent, WA 98030-5904
Mailing Address955 Powell Ave SwRenton, WA 98057-2908 · (425) 277-1311 · Fax (425) 277-1566
Phone(253) 852-2866
Fax(253) 852-3102
Sole ProprietorNo
Medical School CMSWarren Alpert Medical School Of Brown UniversityGraduated 1983
Enumeration DateAugust 1, 2006
Last NPPES UpdateMarch 6, 20259 updates tracked since enumeration
NPPES CertifiedMarch 6, 2025
✔ NPI 1578570743 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in WA · MD60952683✔ Licensed in VA · 0101039112
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.
403 E MEEKER ST STE 200, Kent, WA 98030
Open in Google Maps ↗

Secondary Practice Locations 3

Location 1430 Boxwood LnPearisburg, VA 24134-1168 · Phone (540) 921-6110 · Fax (540) 921-3796
Location 21950 Glenn Mitchell Dr Ste 300Virginia Beach, VA 23456-0048 · Phone (757) 507-0305 · Fax (757) 507-0306
Location 38609 Evergreen WayEverett, WA 98208-2619 · Phone (425) 382-4000

Other Identifiers 4

Other320602VA · Anthem Healthkeepers #
Other320601VA · Anthem Provider #
Other4107755VA · Aetna Provider #
Medicaid5624959VA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska, Providence Health Plan.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

Dr. Lisa Shea Kennedy M.d. 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 ID7719142876
PECOS Enrollment IDI20120625000032, I20191024001505
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

6

Medicare enrollment records show Lisa Kennedy reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Healthpoint
Same address
Federally Qualified Health Center (FQHC)
403 E MEEKER ST, STE 200
Kent, WA 98030
  • Reassigned Medicare billing, Washington enrollment
  • 403 clinicians in this Medicare group
NPI 1831199454 (253) 852-2866
Community Health Center Of Snohomish County
37 mi
Federally Qualified Health Center (FQHC)
8609 EVERGREEN WAY
Everett, WA 98208
  • Reassigned Medicare billing, Washington enrollment
  • 182 clinicians in this Medicare group
NPI 1730136367 (425) 789-1000
Lewis County Hospital District No. 1
57 mi
Emergency Medicine
521 ADAMS AVENUE
Morton, WA 98356
  • Reassigned Medicare billing, Washington enrollment
  • 54 clinicians in this Medicare group
NPI 1205882909 (360) 496-5112
Tidewater Physicians Multispecialty Group PC
2,414 mi
Family Medicine
860 OMNI BLVD STE 401
Newport News, VA 23606
  • Reassigned Medicare billing, Virginia enrollment
  • 351 clinicians in this Medicare group
NPI 1902848294 (757) 232-8764
Sentara Medical Group
2,435 mi
Family Medicine
824 N MILITARY HWY STE 100
Norfolk, VA 23502
  • Reassigned Medicare billing, Virginia enrollment
  • 1,901 clinicians in this Medicare group
NPI 1265485270 (757) 252-2900
Johnson Health Center
  • Reassigned Medicare billing, Virginia enrollment
  • 15 clinicians in this Medicare group
No phone listed

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 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.

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.
37 services36 patients
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.
17 services17 patients

Hospital Affiliations CMS Care Compare 4

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

Sentara Leigh Hospital

Acute Care Hospitals · Norfolk, VA
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number490046
Location830 Kempsville RoadNorfolk, VA 23502 · Norfolk City County
Birthing friendly

Sentara Virginia Beach General Hospital

Acute Care Hospitals · Virginia Beach, VA
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number490057
Location1060 First Colonial RoadVirginia Beach, VA 23454 · Virginia Beach City County
Emergency services

Sentara Princess Anne Hospital

Acute Care Hospitals · Virginia Beach, VA
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number490119
Location2025 Glenn Mitchell DriveVirginia Beach, VA 23456 · Virginia Beach City County
Birthing friendly

Arbor Health Morton Hospital

Critical Access Hospitals · Morton, WA
OwnershipGovernment - Hospital District or Authority
CMS Certification Number501319
Location521 Adams StreetMorton, WA 98356 · Lewis County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98030 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
$97.43 typical visit price
range $63.67 – $189.37
Typical copayment $24.35 (range $15.91 – $47.34)
Most-billed visit code 99203
Established Patient
$111.00 typical visit price
range $21.12 – $155.00
Typical copayment $27.75 (range $5.28 – $38.75)
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.

Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape B4034
Other-Enteral and Parenteral · category OB006N
1 supplier12 claims372 services$3.03 avg. paid by Medicare
Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit B4152
Other-Enteral and Parenteral · category OB006N
1 supplier12 claims5,266 services$0.31 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

DR. JINNY KIM M.D.
Family Medicine
403 E MEEKER ST STE 200
KENT, WA 98030
King County (253) 852-2866
CECILIA GILMORE
Advanced Practice Midwife
403 E MEEKER ST STE 200
KENT, WA 98030
King County (253) 852-2866
DR. PRESTON BUTLER MD
Family Medicine
403 E MEEKER ST STE 200
KENT, WA 98030
King County (253) 852-2866
HALEY MARIE MARTINEZ M.A.
Counselor
403 E MEEKER ST STE 200
KENT, WA 98030
King County (253) 852-2866
CHRISTINA M LINDELL MD
Pediatrics
403 E MEEKER ST STE 200
KENT, WA 98030
King County (253) 852-2866
MARY TOWNSEND
Counselor
403 E MEEKER ST STE 200
KENT, WA 98030
King County (253) 852-2866
REBECCA E. FINO-FUGATE CNM, RN
Advanced Practice Midwife
403 E MEEKER ST STE 200
KENT, WA 98030
King County (253) 852-2866
DANIEL GUTIERREZ
Counselor
403 E MEEKER ST STE 200
KENT, WA 98030
King County (253) 852-2866

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 Lisa Kennedy's NPI number?

The NPI number for Lisa Kennedy is 1578570743. It was assigned to this individual provider in the NPPES registry on August 1, 2006.

Where is Lisa Kennedy located?

Lisa Kennedy practices at 403 E Meeker St Ste 200, Kent, WA 98030. The listed phone number is (253) 852-2866.

What is Lisa Kennedy's specialty?

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

Is Lisa Kennedy enrolled in Medicare?

Yes. Lisa 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 Lisa Kennedy's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lisa Kennedy reassigns Medicare benefits to 6 organizations: Healthpoint (Kent, WA), Community Health Center Of Snohomish County (Everett, WA), Lewis County Hospital District No. 1 (Morton, WA), Tidewater Physicians Multispecialty Group PC (Newport News, VA), Sentara Medical Group (Norfolk, VA) and 1 more organization, 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 Lisa Kennedy's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Lisa Kennedy accept?

Health plans from Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Lisa 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 Lisa Kennedy affiliated with any hospitals?

According to CMS data, Lisa Kennedy is affiliated with Sentara Leigh Hospital, Sentara Virginia Beach General Hospital, Sentara Princess Anne Hospital and Arbor Health Morton Hospital.

When was this NPI record last updated?

The NPPES record for Lisa Kennedy was last updated on March 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.