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MRS. NICOLE DYAN KENNEDY PA
NPI 1730412958
Physician Assistant in Denver, CO

Active since September 08, 2009PECOS EnrolledAccepts Medicare Assignment
850 EAST HARVARD AVENUE, SUITE 285, DENVER, CO 80210(303) 777-3333(303) 733-4441 Get Directions Write a Review

NPPES record last updated: October 7, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mrs. Nicole Dyan Kennedy Pa NPPES

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

MRS. NICOLE DYAN KENNEDY PA (NPI 1730412958) is an individual physician assistant in Denver, Colorado, licensed in Colorado (2841) and active in the NPI registry since September 2009. She is enrolled in Medicare PECOS and is a graduate of Other (2009).

NPPES Registry Identity

NPI1730412958
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMRS. NICOLE DYAN KENNEDYCredential: PA
Location Address850 EAST HARVARD AVENUE, SUITE 285Denver, CO 80210
Mailing Address850 East Harvard Avenue, Suite 285Denver, CO 80210 · (303) 777-3333 · Fax (303) 733-4441
Phone(303) 777-3333
Fax(303) 733-4441
Sole ProprietorNo
Medical School CMSOtherGraduated 2009
Enumeration DateSeptember 8, 2009
Last NPPES UpdateOctober 7, 2009
✔ NPI 1730412958 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 CO · 2841
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.
850 EAST HARVARD AVENUE, Denver, CO 80210
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Other Names 1

Former Name (1)Ms. Nicole Dyan Jacobs Pa

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

Mrs. Nicole Dyan Kennedy Pa 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 ID7911044813
PECOS Enrollment IDI20091026000673
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

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.

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.
34 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 80210 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
$89.43 typical visit price
range $58.06 – $174.82
Typical copayment $22.35 (range $14.51 – $43.70)
Most-billed visit code 99203
Established Patient
$72.20 typical visit price
range $18.88 – $142.79
Typical copayment $18.05 (range $4.72 – $35.69)
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.

Referred Medical Equipment & Supplies CMS DME claims 7

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Azathioprine, oral, 50 mg J7500
Treatment-Treatment - Miscellaneous · category RX029N
1 supplier12 claims720 services$1.03 avg. paid by Medicare
Tacrolimus, extended release, (envarsus xr), oral, 0.25 mg J7503
Treatment-Chemotherapy · category RH002N
3 suppliers12 claims2,700 services$1.21 avg. paid by Medicare
Tacrolimus, immediate release, oral, 1 mg J7507
Treatment-Treatment - Miscellaneous · category RX029N
10 suppliers55 claims6,945 services$0.31 avg. paid by Medicare
Prednisone, immediate release or delayed release, oral, 1 mg J7512
Treatment-Treatment - Miscellaneous · category RX029N
5 suppliers26 claims3,900 services$0.01 avg. paid by Medicare
Mycophenolic acid, oral, 180 mg J7518
Treatment-Treatment - Miscellaneous · category RX029N
4 suppliers27 claims4,500 services$1.01 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period Q0511
Treatment-Chemotherapy · category RH012N
12 suppliers59 claims59 services$18.65 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Nicole Kennedy's NPI number?

The NPI number for Nicole Kennedy is 1730412958. It was assigned to this individual provider in the NPPES registry on September 8, 2009. The provider is also known as Ms. Nicole Dyan Jacobs PA.

Where is Nicole Kennedy located?

Nicole Kennedy practices at 850 East Harvard Avenue Suite 285, Denver, CO 80210. The listed phone number is (303) 777-3333.

What is Nicole Kennedy's specialty?

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

Is Nicole Kennedy enrolled in Medicare?

Yes. Nicole 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.

When was this NPI record last updated?

The NPPES record for Nicole Kennedy was last updated on October 7, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.