KENISHA LATOYA KENNEDY
NPI 1841976248
Nurse Practitioner - Family in Fort Belvoir, VA

Active since June 22, 2023PECOS Enrolled
9300 DEWITT LOOP, FORT BELVOIR, VA 22060(571) 231-1803 Get Directions Write a Review

NPPES record last updated: April 10, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 10, 2026, Feb 24, 2025, Jun 22, 2023 (3 updates tracked since 2023).

About Kenisha Latoya Kennedy NPPES

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

KENISHA LATOYA KENNEDY (NPI 1841976248) is an individual family provider in Fort Belvoir, Virginia, licensed in New York (351805) and active in the NPI registry since June 2023. She is enrolled in Medicare PECOS, maintains a secondary practice location in White Plains, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1841976248
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKENISHA LATOYA KENNEDY
Location Address9300 DEWITT LOOPFort Belvoir, VA 22060-5285
Mailing Address9300 Dewitt LoopFort Belvoir, VA 22060-5285 · (571) 231-1803
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateJune 22, 2023
Last NPPES UpdateApril 10, 20263 updates tracked since enumeration
NPPES CertifiedApril 10, 2026
✔ NPI 1841976248 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in NY · 351805
Also ListedFamily MedicineTaxonomy 207Q00000X · License 2380467 (NY)
9300 DEWITT LOOP, Fort Belvoir, VA 22060

Secondary Practice Location 1

Location 1295 Knollwood RdWhite Plains, NY 10607-1822 · Phone (914) 989-7600

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kenisha Latoya Kennedy is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6608221478
PECOS Enrollment IDI20260616003531
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Kenisha Kennedy reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Internal Medicine
2300 OPITZ BLVD
Woodbridge, VA 22191
  • Reassigned Medicare billing, District of Columbia and Virginia enrollments
  • 15 clinicians in this Medicare group
Specialist
107 W 4TH ST, ADMINISTRATION
Mount Vernon, NY 10550
  • Reassigned Medicare billing, New York enrollment
  • 108 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 22060 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
$100.31 typical visit price
range $65.18 – $194.86
Typical copayment $25.07 (range $16.29 – $48.71)
Most-billed visit code 99203
Established Patient
$113.72 typical visit price
range $21.40 – $158.88
Typical copayment $28.43 (range $5.35 – $39.72)
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 20

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

Counselor (Mental Health)
9300 DEWITT LOOP
FORT BELVOIR, VA 22060
Occupational Therapy Assistant
9300 DEWITT LOOP
FT BELVOIR, VA 22060
Social Worker (Clinical)
9300 DEWITT LOOP
FORT BELVOIR, VA 22060
Psychologist (Clinical Child & Adolescent)
9300 DEWITT LOOP
FORT BELVOIR, VA 22060
Psychiatry & Neurology (Neurology)
9300 DEWITT LOOP
FORT BELVOIR, VA 22060
Social Worker (Clinical)
9300 DEWITT LOOP
FORT BELVOIR, VA 22060
Orthopaedic Surgery
9300 DEWITT LOOP
FORT BELVOIR, VA 22060
General Practice
9300 DEWITT LOOP
FORT BELVOIR, VA 22060

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 Kenisha Kennedy's NPI number?

The NPI number for Kenisha Kennedy is 1841976248. It was assigned to this individual provider in the NPPES registry on June 22, 2023.

Where is Kenisha Kennedy located?

Kenisha Kennedy practices at 9300 Dewitt Loop, Fort Belvoir, VA 22060. The listed phone number is (571) 231-1803.

What is Kenisha Kennedy's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Kenisha Kennedy enrolled in Medicare?

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

Which organizations bill Medicare for Kenisha Kennedy's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kenisha Kennedy reassigns Medicare benefits to 2 organizations: Alliance Medical Team LLC (Woodbridge, VA) and Mount Vernon Neighborhood Health Center Inc (Mount Vernon, NY). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kenisha Kennedy's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Kenisha Kennedy was last updated on April 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.