MRS. LINWOOD W. KENNEALLY (PHYSICIAN ASSISTANT) – Medical Physician Assistant, NPI 1215682588

MRS. LINWOOD W. KENNEALLY (PHYSICIAN ASSISTANT) is a healthcare provider. based in Holliston, Massachusetts. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PHYSICIAN ASSISTANT. They hold a License No. PA1362 (MA). The NPI Number for MRS. LINWOOD W. KENNEALLY (PHYSICIAN ASSISTANT) is 1215682588

Main info

Female
25 Years Of Experience
Accepts Medicare Assignment
Name
MRS. LINWOOD W. KENNEALLY (PHYSICIAN ASSISTANT)
NPI
1215682588
Phone
(617) 212-4004
Address
74 MAPLE DELL LN
Enumeration Date
15 February 2022
Last Update Date
15 February 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5084533223
Graduation Year
2001 (25 years ago)
PAC ID
3476949462
Group Practice PAC ID
4587889365
Professional Enrollment ID
I20220330002306
Address ID
MA016052441WO95XXXSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness75
Years active:4State licenses:1Digital endpointsOther names

5,093 PHYSICIAN ASSISTANT in MA

Provider Addresses for MRS. LINWOOD W. KENNEALLY (PHYSICIAN ASSISTANT)

  • 74 MAPLE DELL LN

    HOLLISTON, MA 017462434

    Phone: (617) 212-4004

    Type: Mailing

  • 107 LINCOLN ST

    WORCESTER, MA 016052401

    Phone: (508) 453-3028

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 6 Open Payments records for all available years, with a total value of $126.

Total Amount is formed as General ($126) + Research ($0) + Ownership ($0) = $126.

Last reported payment date: 2024-12-20 • Largest payer in this snapshot: Indivior Inc. ($49).

Total Amount

$126

General + Research + Ownership

Payments

6

Total payment records

General Amount

$126

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-20

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2022-03-30

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20220330002306IPhysician AssistantMATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes1,606506$0
99238Hospital discharge day management, 30 minutes or less201182$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes113103$0
View full utilization report →

Insurance plans in this area (ZIP 01746)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4587889365View full group profile
NameSpecialtyState
Physician AssistantMA
Internal MedicineMA
General SurgeryIL
Physician AssistantMA
-CT
Nurse PractitionerMA
Internal Medicine, Addiction MedicineMA
Nurse PractitionerMA
Nurse PractitionerMA
-MA

Reviews

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Frequently asked questions

How is MRS. LINWOOD W. KENNEALLY (PHYSICIAN ASSISTANT) identified in CMS data?
CMS-hosted NPPES data lists MRS. LINWOOD W. KENNEALLY (PHYSICIAN ASSISTANT) with NPI 1215682588.
Does CMS list MRS. LINWOOD W. KENNEALLY (PHYSICIAN ASSISTANT) as active?
Yes — MRS. LINWOOD W. KENNEALLY (PHYSICIAN ASSISTANT) is active in the NPI listing used on this page.
What is MRS. LINWOOD W. KENNEALLY (PHYSICIAN ASSISTANT)'s primary classification?
Medical Physician Assistant is the headline specialty for MRS. LINWOOD W. KENNEALLY (PHYSICIAN ASSISTANT) here. Clinical services aligned with this taxonomy classification.
Does MRS. LINWOOD W. KENNEALLY (PHYSICIAN ASSISTANT) list a practice location?
Patients near Holliston, Massachusetts may find MRS. LINWOOD W. KENNEALLY (PHYSICIAN ASSISTANT) in results; validate coverage separately.
Why does MRS. LINWOOD W. KENNEALLY (PHYSICIAN ASSISTANT) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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