AUTUMN KENNEDY PA-C
NPI 1659224632
Physician Assistant in Houston, TX

Q: What is Autumn Kennedy's NPI number?

The NPI number for Autumn Kennedy is 1659224632. It was assigned to this individual provider in the NPPES registry on February 18, 2026.

Q: What is Autumn Kennedy's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Autumn Kennedy was last updated on March 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.

Active since February 18, 2026PECOS Enrolled

5656 KELLEY ST # 1EC1347, HOUSTON, TX 77026(713) 566-5100 Get Directions Write a Review

NPPES record last updated: March 12, 2026. Verified against the NPPES registry weekly; last sync: October 04, 2026.

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About Autumn Kennedy Pa-c NPPES

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

AUTUMN KENNEDY PA-C (NPI 1659224632) is an individual physician assistant in Houston, Texas, licensed in Texas (PA20000) and active in the NPI registry since February 2026. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1659224632

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameAUTUMN KENNEDYCredential: PA-C

Location Address5656 KELLEY ST # 1EC1347Houston, TX 77026-1975

Mailing Address6431 Fannin St, Jjl 270Houston, TX 77030-1501

Phone(713) 566-5100

Sole ProprietorNo

Medical School CMSOtherGraduated 2025

Enumeration DateFebruary 18, 2026

Last NPPES UpdateMarch 12, 2026

NPPES CertifiedMarch 12, 2026

✔ NPI 1659224632 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 TX · PA20000

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.

5656 KELLEY ST # 1EC1347, Houston, TX 77026

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Autumn Kennedy Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2163906934

PECOS Enrollment IDI20260319001363

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77026 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

$90.40 typical visit price

range $58.24 – $176.98

Typical copayment $22.60 (range $14.56 – $44.24)

Most-billed visit code 99203

Established Patient

$72.62 typical visit price

range $18.60 – $143.93

Typical copayment $18.15 (range $4.65 – $35.98)

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.

RACHEL MARIE CAMERON NP

Nurse Practitioner