1. Home
  2. Directory
  3. New Jersey
  4. Belleville
  5. Physician Assistant
  6. NPI Profile

MS. NERISSA NICOLE KENNEDY PA
NPI 1841640547
Physician Assistant in Belleville, NJ

Active since June 14, 2016PECOS Enrolled
36 NEWARK AVE, BELLEVILLE, NJ 07109(973) 429-2209(973) 429-2210 Get Directions Write a Review

NPPES record last updated: February 7, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 7, 2024, Oct 4, 2020, Jul 24, 2019 and 1 more (4 updates tracked since 2016).

About Ms. Nerissa Nicole Kennedy Pa NPPES

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

MS. NERISSA NICOLE KENNEDY PA (NPI 1841640547) is an individual physician assistant in Belleville, New Jersey, licensed in New Jersey (25MP00398500) and active in the NPI registry since June 2016. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1841640547
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMS. NERISSA NICOLE KENNEDYCredential: PA
Location Address36 NEWARK AVEBelleville, NJ 07109-4119
Mailing Address1 Harmon Plz Fl 3Secaucus, NJ 07094-2803 · (551) 257-7039
Phone(973) 429-2209
Fax(973) 429-2210
Sole ProprietorNo
Enumeration DateJune 14, 2016
Last NPPES UpdateFebruary 7, 20244 updates tracked since enumeration
NPPES CertifiedFebruary 7, 2024
✔ NPI 1841640547 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 NJ · 25MP00398500
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.
36 NEWARK AVE, Belleville, NJ 07109
Open in Google Maps ↗

Secondary Practice Locations 2

Location 1372 Valley RdWest Orange, NJ 07052-5303 · Phone (973) 429-2209
Location 2195 Cortlandt StBelleville, NJ 07109-3128 · Phone (973) 429-2209

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Nerissa Nicole Kennedy Pa 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 07109 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
$98.09 typical visit price
range $63.84 – $190.92
Typical copayment $24.52 (range $15.96 – $47.73)
Most-billed visit code 99203
Established Patient
$79.09 typical visit price
range $20.97 – $155.92
Typical copayment $19.77 (range $5.24 – $38.98)
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 20

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

SUSANA PEREIRA APN
Nurse Practitioner (Primary Care)
36 NEWARK AVE
BELLEVILLE, NJ 07109
Essex County (973) 759-6896
DR. DAVID J GREIFINGER M.D.
Orthopaedic Surgery
36 NEWARK AVE, STE 220
BELLEVILLE, NJ 07109
Essex County (973) 759-8284
ESSEX ORTHOPAEDIC GROUP, P.C.
Orthopaedic Surgery
36 NEWARK AVE, SUITE 220
BELLEVILLE, NJ 07109
Essex County (973) 759-8284
NORTH JERSEY EAR NOSE & THROAT
Otolaryngology
36 NEWARK AVE, STE 318
BELLEVILLE, NJ 07109
Essex County (973) 751-2251
CLINICAL & INVASIVE CARDIOLOGY
Legal Medicine
36 NEWARK AVE, SUITE 300
BELLEVILLE, NJ 07109
Essex County (973) 751-7322
MR. ADEL BASILY SORIAL MD
Otolaryngology
36 NEWARK AVE, STE 318
BELLEVILLE, NJ 07109
Essex County (973) 751-2251
YELENA YERETSKY DO
Dermatology
36 NEWARK AVE, STE 120 LIGRESTI DERMATOLOGY ASSOCIATES PA
BELLEVILLE, NJ 07109
Essex County (973) 759-6569
MS. VIRGINIA IRENE LAY M.D.
Obstetrics & Gynecology
36 NEWARK AVE, SUITE 128
BELLEVILLE, NJ 07109
Essex County (973) 751-5454

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 Nerissa Kennedy's NPI number?

The NPI number for Nerissa Kennedy is 1841640547. It was assigned to this individual provider in the NPPES registry on June 14, 2016.

Where is Nerissa Kennedy located?

Nerissa Kennedy practices at 36 Newark Ave, Belleville, NJ 07109. The listed phone number is (973) 429-2209.

What is Nerissa Kennedy's specialty?

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

Is Nerissa Kennedy enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Nerissa Kennedy was last updated on February 7, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.