SAMANTHA KENNEDY
NPI 1952938896
Counselor - Professional in Red Wing, MN
About Samantha Kennedy NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SAMANTHA KENNEDY (NPI 1952938896) is an individual professional provider in Red Wing, Minnesota and active in the NPI registry since March 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2017).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Samantha Kennedy is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Samantha Kennedy reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Owatonna, MN 55060
- Reassigned Medicare billing, Minnesota enrollment
- 79 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.
Other Providers at the Same Location NPPES 4
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Samantha Kennedy's NPI number?
The NPI number for Samantha Kennedy is 1952938896. It was assigned to this individual provider in the NPPES registry on March 23, 2020.
Where is Samantha Kennedy located?
Samantha Kennedy practices at 129 Hedin Ave, Red Wing, MN 55066. The listed phone number is (651) 212-7429.
What is Samantha Kennedy's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
Is Samantha Kennedy enrolled in Medicare?
Yes. Samantha Kennedy is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Samantha Kennedy's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Samantha Kennedy reassigns Medicare benefits to Fernbrook Family Center, Inc (Owatonna, MN). The 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 Samantha Kennedy's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Samantha Kennedy accept?
Health plans from HealthPartners list Samantha 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 Samantha Kennedy was last updated on March 23, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Samantha Kennedy · NPI 1952938896
Professional provider in Red Wing, Minnesota. Individual provider, active in the CMS NPPES registry since March 23, 2020.
## Identity
- **NPI:** 1952938896 (Entity type: Individual)
- **Enumerated:** March 23, 2020
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **Sole proprietor:** No
## Practice location
- **Address:** 129 HEDIN AVE, Red Wing, MN 55066-1907
- **Phone:** (651) 212-7429 · **Fax:** (507) 446-0431
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Fernbrook Family Center, Inc (NPI 1659483915, Owatonna, MN), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2017
## Record status
- **NPPES last updated:** March 23, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1952938896) · Data from the CMS NPPES public registry.