DR. JESSICA LYNN KENNEDY DDS
NPI 1750768263
Dentist - Pediatric Dentistry in Yakima, WA

Q: What is Jessica Kennedy's NPI number?

The NPI number for Jessica Kennedy is 1750768263. It was assigned to this individual provider in the NPPES registry on May 4, 2015. The provider is also known as Dr. Jessica Lynn Sullivan Dds.

Q: What is Jessica Kennedy's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

Q: When was this NPI record last updated?

The NPPES record for Jessica Kennedy was last updated on June 25, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.

Active since May 04, 2015PECOS Enrolled

3801 KERN RD, YAKIMA, WA 98902(509) 574-3220(509) 574-3211 Get Directions Write a Review

NPPES record last updated: June 25, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 25, 2018, Nov 15, 2017, Sep 15, 2017 (3 updates tracked since 2017).

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About Dr. Jessica Lynn Kennedy Dds NPPES

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

DR. JESSICA LYNN KENNEDY DDS (NPI 1750768263) is an individual pediatric dentistry provider in Yakima, Washington, licensed in Washington (DE60791472) and active in the NPI registry since May 2015. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1750768263

Entity TypeIndividualFemale

Primary Taxonomy1223P0221X

Provider Legal NameDR. JESSICA LYNN KENNEDYCredential: DDS

Location Address3801 KERN RDYakima, WA 98902

Mailing Address3801 Kern RdYakima, WA 98902 · (509) 574-3220 · Fax (509) 574-3211

Phone(509) 574-3220

Fax(509) 574-3211

Sole ProprietorNo

Enumeration DateMay 4, 2015

Last NPPES UpdateJune 25, 20183 updates tracked since enumeration

✔ NPI 1750768263 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers

Taxonomy Code1223P0221X

Licenses✔ Licensed in WA · DE60791472✔ Licensed in MN · D13801

Definition

An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

Also ListedDentistTaxonomy 122300000X · License D13801 (MN)

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License RR60541536 (WA)

3801 KERN RD, Yakima, WA 98902

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Other Names 1

Former Name (1)Dr. Jessica Lynn Sullivan Dds

Secondary Practice Locations 2

Location 11705 S BroadwayRochester, MN 55904-7960 · Phone (507) 288-0102 · Fax (507) 252-1445

Location 23909 Creekside Loop Ste 140Yakima, WA 98902-4880 · Phone (509) 834-2004 · Fax (509) 834-2007

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Jessica Lynn Kennedy Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 98902 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

$88.29 typical visit price

range $57.27 – $172.80

Typical copayment $22.07 (range $14.31 – $43.20)

Most-billed visit code 99203

Established Patient

$71.29 typical visit price

range $18.56 – $141.11

Typical copayment $17.82 (range $4.64 – $35.27)

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 12

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

KATARINA BERK

Behavior Technician

3801 KERN RD
YAKIMA, WA 98902

Yakima County (509) 746-3384

SHAE JOANNAH NEWGARD

Behavior Analyst

3801 KERN RD
YAKIMA, WA 98902

Yakima County (509) 746-3250

BIANCA PENA

Behavior Technician

3801 KERN RD
YAKIMA, WA 98902

Yakima County (509) 746-3384

ARCHANA ANIL PATEL M.D., M.P.H.

Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)

3801 KERN RD
YAKIMA, WA 98902

Yakima County (509) 574-3238

JENNIFER MICHELLE PEREZ SANCHEZ

Behavior Technician

3801 KERN RD
YAKIMA, WA 98902

Yakima County (509) 746-3250

JOCELYN CALDERON

Behavior Technician

3801 KERN RD
YAKIMA, WA 98902

Yakima County (509) 746-3250

TAYLOR MOORE

Behavior Technician

3801 KERN RD
YAKIMA, WA 98902

Yakima County (509) 574-3200

CONSUELO MUNGUIA

Behavior Technician

3801 KERN RD
YAKIMA, WA 98902

Yakima County (509) 746-3250

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 Jessica Kennedy's NPI number?

The NPI number for Jessica Kennedy is 1750768263. It was assigned to this individual provider in the NPPES registry on May 4, 2015. The provider is also known as Dr. Jessica Lynn Sullivan Dds.

Where is Jessica Kennedy located?

Jessica Kennedy practices at 3801 Kern Rd, Yakima, WA 98902. The listed phone number is (509) 574-3220.

What is Jessica Kennedy's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

Is Jessica Kennedy enrolled in Medicare?

Yes. Jessica Kennedy is registered in the Medicare PECOS enrollment system.

What insurance does Jessica Kennedy accept?

Health plans from BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Florida Combined Life and 4 other insurers list Jessica 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 Jessica Kennedy was last updated on June 25, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.