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KENNEDY MARIE ISAAK PA
NPI 1871254615
Physician Assistant in Saint Louis, MO

Active since January 04, 2022PECOS EnrolledAccepts Medicare Assignment
621 S NEW BALLAS RD STE 63B, SAINT LOUIS, MO 63141(314) 960-8771 Get Directions Write a Review

NPPES record last updated: April 1, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 1, 2024, Jul 17, 2023, Jan 17, 2023 and 1 more (4 updates tracked since 2022).

About Kennedy Marie Isaak Pa NPPES

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

KENNEDY MARIE ISAAK PA (NPI 1871254615) is an individual physician assistant in Saint Louis, Missouri, licensed in Missouri (2023014817) and active in the NPI registry since January 2022. She is enrolled in Medicare PECOS, maintains a secondary practice location in Saint Louis, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1871254615
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameKENNEDY MARIE ISAAKCredential: PA
Location Address621 S NEW BALLAS RD STE 63BSaint Louis, MO 63141-8251
Mailing Address3 Inwood CtSaint Peters, MO 63376-2613
Phone(314) 960-8771
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateJanuary 4, 2022
Last NPPES UpdateApril 1, 20244 updates tracked since enumeration
NPPES CertifiedApril 1, 2024
✔ NPI 1871254615 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 MO · 2023014817
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.
621 S NEW BALLAS RD STE 63B, Saint Louis, MO 63141
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Secondary Practice Location 1

Location 112700 Southfork Rd Ste 100Saint Louis, MO 63128-3201 · Phone (314) 251-3500

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica, UnitedHealthcare.Insurance ›

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

Kennedy Marie Isaak 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 ID9032579347
PECOS Enrollment IDI20230718004022
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 63141 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
$86.32 typical visit price
range $55.65 – $169.38
Typical copayment $21.58 (range $13.91 – $42.34)
Most-billed visit code 99203
Established Patient
$69.50 typical visit price
range $17.76 – $137.92
Typical copayment $17.37 (range $4.44 – $34.48)
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 6

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

HAILEY NOELLE SCHLESINGER CPNP-PC
Nurse Practitioner (Pediatrics)
621 S NEW BALLAS RD STE 63B
SAINT LOUIS, MO 63141
St. Louis County (314) 966-0111
MS. DIANA M RICE PNP
Nurse Practitioner (Pediatrics)
621 S NEW BALLAS RD STE 63B
SAINT LOUIS, MO 63141
St. Louis County (314) 251-3500
DR. DAVID JAMES ANDERSON MD
Orthopaedic Surgery (Pediatric Orthopaedic Surgery)
621 S NEW BALLAS RD STE 63B
SAINT LOUIS, MO 63141
St. Louis County (314) 983-4700
SHAUN CONLEY D.O
Orthopaedic Surgery (Pediatric Orthopaedic Surgery)
621 S NEW BALLAS RD STE 63B
SAINT LOUIS, MO 63141
St. Louis County (314) 966-0111
JAMES BRANCA PNP
Nurse Practitioner
621 S NEW BALLAS RD STE 63B
SAINT LOUIS, MO 63141
St. Louis County (314) 966-0111
MRS. DEANN WILSON PNP-BC
Nurse Practitioner (Pediatrics)
621 S NEW BALLAS RD STE 63B
SAINT LOUIS, MO 63141
St. Louis County (314) 251-3500

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 Kennedy Isaak's NPI number?

The NPI number for Kennedy Isaak is 1871254615. It was assigned to this individual provider in the NPPES registry on January 4, 2022.

Where is Kennedy Isaak located?

Kennedy Isaak practices at 621 S New Ballas Rd Ste 63B, Saint Louis, MO 63141. The listed phone number is (314) 960-8771.

What is Kennedy Isaak's specialty?

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

Is Kennedy Isaak enrolled in Medicare?

Yes. Kennedy Isaak 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.

What insurance does Kennedy Isaak accept?

Health plans from Medica and UnitedHealthcare list Kennedy Isaak 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 Kennedy Isaak was last updated on April 1, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.