SAMANTHA TARANTINO KENNEDY MD
NPI 1689232506
Pediatrics in Jacksonville, FL
About Samantha Tarantino Kennedy Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SAMANTHA TARANTINO KENNEDY MD (NPI 1689232506) is an individual pediatrics provider in Jacksonville, Florida, licensed in Florida (ME155385) and active in the NPI registry since June 2019. She is enrolled in Medicare PECOS and is a graduate of Cooper Medical School Of Rowan University (2019).
NPPES Registry Identity
Specialties & Licenses
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
Samantha Tarantino Kennedy Md 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 32207 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
JACKSONVILLE, FL 32207
JACKSONVILLE, FL 32207
JACKSONVILLE, FL 32207
JACKSONVILLE, FL 32207
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 Samantha Kennedy's NPI number?
The NPI number for Samantha Kennedy is 1689232506. It was assigned to this individual provider in the NPPES registry on June 5, 2019.
Where is Samantha Kennedy located?
Samantha Kennedy practices at 800 Prudential Dr, Jacksonville, FL 32207. The listed phone number is (904) 202-8000.
What is Samantha Kennedy's specialty?
The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.
Is Samantha Kennedy enrolled in Medicare?
Yes. Samantha 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.
What insurance does Samantha Kennedy accept?
Health plans from Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Samantha 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.
When was this NPI record last updated?
The NPPES record for Samantha Kennedy was last updated on March 13, 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.
# Samantha Tarantino Kennedy, MD · NPI 1689232506
Pediatrics physician in Jacksonville, Florida. Individual provider, active in the CMS NPPES registry since June 5, 2019.
## Identity
- **NPI:** 1689232506 (Entity type: Individual)
- **Enumerated:** June 5, 2019
- **Primary specialty:** Pediatrics · taxonomy 208000000X
- **State license:** ME155385 (Florida)
- **Sole proprietor:** No
## Practice location
- **Address:** 800 PRUDENTIAL DR, Jacksonville, FL 32207-8202
- **Phone:** (904) 202-8000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Cooper Medical School Of Rowan University, class of 2019
## Record status
- **NPPES last updated:** March 13, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1689232506) · Data from the CMS NPPES public registry.