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JOSEPH RICHARD KENNEDY
NPI 1790279479
Physician Assistant in Jacksonville, FL

Active since June 18, 2018PECOS Enrolled
6650 CORPORATE CENTER PKWY APT 1604, JACKSONVILLE, FL 32216(828) 337-8766 Get Directions Write a Review

NPPES record last updated: November 14, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 14, 2025, Aug 22, 2018, Jun 18, 2018 (3 updates tracked since 2018).

About Joseph Richard Kennedy NPPES

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

JOSEPH RICHARD KENNEDY (NPI 1790279479) is an individual physician assistant in Jacksonville, Florida, licensed in California (PA57329) and active in the NPI registry since June 2018. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1790279479
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameJOSEPH RICHARD KENNEDY
Location Address6650 CORPORATE CENTER PKWY APT 1604Jacksonville, FL 32216-8718
Mailing Address3580 West RdCortland, NY 13045-8989 · (828) 337-8766
Phone(828) 337-8766
Sole ProprietorNo
Enumeration DateJune 18, 2018
Last NPPES UpdateNovember 14, 20253 updates tracked since enumeration
NPPES CertifiedNovember 14, 2025
✔ NPI 1790279479 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in CA · PA57329
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.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
6650 CORPORATE CENTER PKWY APT 1604, Jacksonville, FL 32216
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Other Names 1

Other Name (5)Joe Kennedy

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 (PECOS)

Joseph Richard Kennedy 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.

Areas of Expertise CMS Part B claims 2

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.

Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
22 services21 patients
Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
17 services17 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32216 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
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.

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 Joseph Kennedy's NPI number?

The NPI number for Joseph Kennedy is 1790279479. It was assigned to this individual provider in the NPPES registry on June 18, 2018. The provider is also known as Joe Kennedy.

Where is Joseph Kennedy located?

Joseph Kennedy practices at 6650 Corporate Center Pkwy Apt 1604, Jacksonville, FL 32216. The listed phone number is (828) 337-8766.

What is Joseph Kennedy's specialty?

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

Is Joseph Kennedy enrolled in Medicare?

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

What insurance does Joseph Kennedy accept?

Health plans from Blue Cross and Blue Shield of Texas list Joseph 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 Joseph Kennedy was last updated on November 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.