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BETHANY H KENNEDY ANP, MSN, RN
NPI 1710328760
Nurse Practitioner - Adult Health in Commack, NY

Active since July 07, 2013PECOS EnrolledAccepts Medicare Assignment
2171 JERICHO TPKE STE 135, COMMACK, NY 11725(631) 670-6525 Get Directions Write a Review

NPPES record last updated: October 5, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Bethany H Kennedy Anp, Msn, Rn NPPES

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

BETHANY H KENNEDY ANP, MSN, RN (NPI 1710328760) is an individual adult health provider in Commack, New York, licensed in New York (306535) and active in the NPI registry since July 2013. She is enrolled in Medicare PECOS, is affiliated with John T Mather Memorial Hospital Of Port Jefferson, and is a graduate of Other (2013).

NPPES Registry Identity

NPI1710328760
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameBETHANY H KENNEDYCredential: ANP, MSN, RN
Location Address2171 JERICHO TPKE STE 135Commack, NY 11725-2947
Mailing Address2171 Jericho Tpke Ste 135Commack, NY 11725-2947 · (631) 670-6525
Phone(631) 670-6525
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateJuly 7, 2013
Last NPPES UpdateOctober 5, 2014
✔ NPI 1710328760 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in NY · 306535
2171 JERICHO TPKE STE 135, Commack, NY 11725
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas.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

Bethany H Kennedy Anp, Msn, Rn 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 ID4688981749
PECOS Enrollment IDI20150922002239
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.

Hospital Affiliations CMS Care Compare

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

John T Mather Memorial Hospital Of Port Jefferson

Acute Care Hospitals · Port Jefferson, NY
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330185
Location75 North Country RoadPort Jefferson, NY 11777 · Suffolk County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11725 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
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
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.

Other Providers at the Same Location NPPES

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

KAIA ROSE DREZNER LMT
Massage Therapist
2171 JERICHO TPKE STE 135
COMMACK, NY 11725
Suffolk County (631) 670-6690

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 Bethany Kennedy's NPI number?

The NPI number for Bethany Kennedy is 1710328760. It was assigned to this individual provider in the NPPES registry on July 7, 2013.

Where is Bethany Kennedy located?

Bethany Kennedy practices at 2171 Jericho Tpke Ste 135, Commack, NY 11725. The listed phone number is (631) 670-6525.

What is Bethany Kennedy's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Bethany Kennedy enrolled in Medicare?

Yes. Bethany 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 Bethany Kennedy accept?

Health plans from Blue Cross and Blue Shield of Texas list Bethany 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.

Is Bethany Kennedy affiliated with any hospitals?

According to CMS data, Bethany Kennedy is affiliated with John T Mather Memorial Hospital Of Port Jefferson.

When was this NPI record last updated?

The NPPES record for Bethany Kennedy was last updated on October 5, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.