KENNEDY KERN PA-C
NPI 1629709464
Physician Assistant in Bloomington, IN

Active since June 22, 2022PECOS EnrolledAccepts Medicare Assignment
550 S LANDMARK AVE, BLOOMINGTON, IN 47403(812) 355-6900 Get Directions Write a Review

NPPES record last updated: March 6, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Mar 6, 2023, Jan 24, 2023 (2 updates tracked since 2023).

About Kennedy Kern Pa-c NPPES

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

KENNEDY KERN PA-C (NPI 1629709464) is an individual physician assistant in Bloomington, Indiana, licensed in Indiana (10003910A) and active in the NPI registry since June 2022. She is enrolled in Medicare PECOS, is affiliated with Indiana University Health Bloomington Hospital, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1629709464
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameKENNEDY KERNCredential: PA-C
Location Address550 S LANDMARK AVEBloomington, IN 47403-3239
Mailing Address250 N Shadeland AveIndianapolis, IN 46219-4959
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateJune 22, 2022
Last NPPES UpdateMarch 6, 20232 updates tracked since enumeration
NPPES CertifiedMarch 6, 2023
NPI 1629709464 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 IN · 10003910A
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.

550 S LANDMARK AVE, Bloomington, IN 47403

Other Names 1

Former Name (1)Kennedy J Drago

Accepted 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

Kennedy Kern 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 ID8325411473
PECOS Enrollment IDI20230310001313
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 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
50 services32 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
19 services19 patients
Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221
Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.
11 services11 patients

Hospital Affiliations CMS Care Compare 2

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

Indiana University Health Bloomington Hospital

Acute Care Hospitals · Bloomington, IN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150051
Location2651 East Discovery ParkwayBloomington, IN 47408 · Monroe County
Emergency services Birthing friendly

Indiana University Health

Acute Care Hospitals · Indianapolis, IN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150056
Location1701 N Senate BlvdIndianapolis, IN 46202 · Marion County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 47403 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
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$66.48 typical visit price
range $16.93 – $132.22
Typical copayment $16.62 (range $4.23 – $33.05)
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 20

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

Internal Medicine (Gastroenterology)
550 S LANDMARK AVE
BLOOMINGTON, IN 47403
Clinical Medical Laboratory
550 S LANDMARK AVE
BLOOMINGTON, IN 47403
Internal Medicine (Cardiovascular Disease)
550 S LANDMARK AVE
BLOOMINGTON, IN 47403
Internal Medicine (Interventional Cardiology)
550 S LANDMARK AVE
BLOOMINGTON, IN 47403
Internal Medicine
550 S LANDMARK AVE
BLOOMINGTON, IN 47403
Nurse Practitioner (Family)
550 S LANDMARK AVE
BLOOMINGTON, IN 47403
Nurse Practitioner
550 S LANDMARK AVE
BLOOMINGTON, IN 47403
Internal Medicine
550 S LANDMARK AVE
BLOOMINGTON, IN 47403

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1629709464, enumerated as an "individual" on June 22, 2022.

The provider is located at 550 S LANDMARK AVE BLOOMINGTON, IN 47403 and the phone number is (812) 355-6900.

Physician Assistant with taxonomy code 363A00000X.

The provider might be accepting Accepts: Ambetter from Buckeye Health Plan, Ambetter from. Please consult your insurance carrier or call the provider to verify.

Kennedy Kern is affiliated with: INDIANA UNIVERSITY HEALTH BLOOMINGTON HOSPITAL and INDIANA UNIVERSITY HEALTH.