ELIZABETH KENNEDY
NPI 1982069860
Physician Assistant - Surgical in Brightwaters, NY

Active since December 21, 2015PECOS EnrolledAccepts Medicare Assignment
91.25/100
CMS Quality Rating
404 POTTER BLVD, BRIGHTWATERS, NY 11718(631) 376-0055 Get Directions Write a Review

NPPES record last updated: December 10, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 10, 2019, Dec 21, 2015 (2 updates tracked since 2015).

About Elizabeth Kennedy NPPES

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

ELIZABETH KENNEDY (NPI 1982069860) is an individual surgical provider in Brightwaters, New York and active in the NPI registry since December 2015. She is enrolled in Medicare PECOS, is affiliated with North Shore University Hospital, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1982069860
Entity TypeIndividualFemale
Primary Taxonomy363AS0400X
Provider Legal NameELIZABETH KENNEDY
Location Address404 POTTER BLVDBrightwaters, NY 11718-1830
Mailing Address23 Roosevelt DrBethpage, NY 11714-5537
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateDecember 21, 2015
Last NPPES UpdateDecember 10, 20192 updates tracked since enumeration
NPI 1982069860 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
404 POTTER BLVD, Brightwaters, NY 11718

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

Elizabeth Kennedy 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 ID3971894312
PECOS Enrollment IDI20160615001698
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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

North Shore University Hospital

Acute Care Hospitals · Manhasset, NY
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330106
Location300 Community DriveManhasset, NY 11030 · Nassau County
Emergency services Birthing friendly

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

91.25/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality74.92
Promoting Interoperability91.67
Improvement Activities40

Other Providers at the Same Location NPPES 13

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

Physician Assistant
404 POTTER BLVD
BRIGHTWATERS, NY 11718
Obstetrics & Gynecology (Gynecologic Oncology)
404 POTTER BLVD
BRIGHTWATERS, NY 11718
Obstetrics & Gynecology (Gynecologic Oncology)
404 POTTER BLVD
BRIGHTWATERS, NY 11718
Obstetrics & Gynecology
404 POTTER BLVD
BRIGHTWATERS, NY 11718
Physician Assistant
404 POTTER BLVD
BRIGHTWATERS, NY 11718
Physician Assistant
404 POTTER BLVD
BRIGHTWATERS, NY 11718
Obstetrics & Gynecology (Gynecologic Oncology)
404 POTTER BLVD
BRIGHTWATERS, NY 11718
Obstetrics & Gynecology (Gynecologic Oncology)
404 POTTER BLVD
BRIGHTWATERS, NY 11718

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 Elizabeth Kennedy's NPI number?

The NPI number for Elizabeth Kennedy is 1982069860. It was assigned to this individual provider in the NPPES registry on December 21, 2015.

Where is Elizabeth Kennedy located?

Elizabeth Kennedy practices at 404 Potter Blvd, Brightwaters, NY 11718. The listed phone number is (631) 376-0055.

What is Elizabeth Kennedy's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Elizabeth Kennedy enrolled in Medicare?

Yes. Elizabeth Kennedy 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.

Is Elizabeth Kennedy affiliated with any hospitals?

According to CMS data, Elizabeth Kennedy is affiliated with North Shore University Hospital.

When was this NPI record last updated?

The NPPES record for Elizabeth Kennedy was last updated on December 10, 2019. 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.