MIA PATRICIA GEORGIA KENNEDY PA-C
NPI 1639947948
Physician Assistant in Warrensburg, NY

Active since December 15, 2023PECOS EnrolledAccepts Medicare Assignment
3767 MAIN ST, WARRENSBURG, NY 12885(518) 623-2844(518) 623-3416 Get Directions Write a Review

NPPES record last updated: February 14, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mia Patricia Georgia Kennedy Pa-c NPPES

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

MIA PATRICIA GEORGIA KENNEDY PA-C (NPI 1639947948) is an individual physician assistant in Warrensburg, New York, licensed in New York (030885) and active in the NPI registry since December 2023. She is enrolled in Medicare PECOS, is affiliated with Albany Medical Center Hospital, and maintains a secondary practice location in Glens Falls.

NPPES Registry Identity

NPI1639947948
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMIA PATRICIA GEORGIA KENNEDYCredential: PA-C
Location Address3767 MAIN STWarrensburg, NY 12885-1890
Mailing Address9 Carey RdQueensbury, NY 12804-7880 · (518) 761-0300 · Fax (518) 824-2388
Fax(518) 623-3416
Sole ProprietorNo
Medical School CMSState University Of Ny Upstate Medical UniversityGraduated 2023
Enumeration DateDecember 15, 2023
Last NPPES UpdateFebruary 14, 2024
NPPES CertifiedFebruary 14, 2024
NPI 1639947948 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 NY · 030885
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.
3767 MAIN ST, Warrensburg, NY 12885

Secondary Practice Location 1

Location 1100 Broad StGlens Falls, NY 12801-4349 · Phone (518) 792-2223 · Fax (518) 792-8231

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

Mia Patricia Georgia Kennedy 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 ID5496199192
PECOS Enrollment IDI20240221002948
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.

Routine electrocardiogram (ecg) using at least 12 leads with tracing 93005
An Electrocardiogram (ECG) is a simple, painless test that records the heart's electrical activity. Using 12 leads attached to your skin, it generates a tracing of your heart rhythm. It helps detect any heart problems by showing the timing and strength of electrical signals passing through each part of your heart.
16 services16 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
11 services11 patients
Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza 87428
This test uses a method called immunoassay to identify severe acute respiratory syndrome coronavirus and influenza. It works by detecting specific proteins (antigens) in a sample, like a nasal swab. It's a powerful tool in diagnosing these viral infections.
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.

Albany Medical Center Hospital

Acute Care Hospitals · Albany, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330013
Location43 New Scotland Avenue, Mail Code 34Albany, NY 12208 · Albany County
Emergency services Birthing friendly

Glens Falls Hospital

Acute Care Hospitals · Glens Falls, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330191
Location100 Park StreetGlens Falls, NY 12801 · Warren County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 12885 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
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$68.57 typical visit price
range $17.54 – $136.14
Typical copayment $17.14 (range $4.38 – $34.03)
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.

Patient Reviews User submitted

Reviews are submitted by site visitors and approved by a human moderator before publication.

Review by Theresa ***** August 1, 2024

5/5
Listened to me and explained everything. Very through check up without me having to mention checking things. Very satisfied with care, will recommend her to others.
Provider 5/5 Office Staff 5/5
Visited this provider? Share your experience.

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.

Clinical Medical Laboratory
3767 MAIN ST
WARRENSBURG, NY 12885
Clinic/Center (Primary Care)
3767 MAIN ST
WARRENSBURG, NY 12885
Physician Assistant
3767 MAIN ST
WARRENSBURG, NY 12885
Internal Medicine
3767 MAIN ST
WARRENSBURG, NY 12885
Social Worker (Clinical)
3767 MAIN ST
WARRENSBURG, NY 12885
Advanced Practice Midwife
3767 MAIN ST
WARRENSBURG, NY 12885
Nurse Practitioner (Psychiatric/Mental Health)
3767 MAIN ST
WARRENSBURG, NY 12885
Nurse Practitioner (Family)
3767 MAIN ST
WARRENSBURG, NY 12885

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 Mia Kennedy's NPI number?

The NPI number for Mia Kennedy is 1639947948. It was assigned to this individual provider in the NPPES registry on December 15, 2023.

Where is Mia Kennedy located?

Mia Kennedy practices at 3767 Main St, Warrensburg, NY 12885. The listed phone number is (518) 623-2844.

What is Mia Kennedy's specialty?

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

Is Mia Kennedy enrolled in Medicare?

Yes. Mia 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.

Is Mia Kennedy affiliated with any hospitals?

According to CMS data, Mia Kennedy is affiliated with Albany Medical Center Hospital and Glens Falls Hospital.

When was this NPI record last updated?

The NPPES record for Mia Kennedy was last updated on February 14, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.