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

Q: 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.

Q: What is Lisa Kennedy's specialty?

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

Q: When was this NPI record last updated?

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

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: July 26, 2026.

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

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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

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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 Providence Health Plan.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

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

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.

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

17 services17 patients

Hospital Affiliations CMS Care Compare 3

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

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.

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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