ADRIENNE KENNEDY (PA) – Physician Assistant, NPI 1386989788

ADRIENNE KENNEDY (PA) is a healthcare provider. based in Alma, Michigan. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA. They hold a License No. 5601006524 (MI). The NPI Number for ADRIENNE KENNEDY (PA) is 1386989788

Main info

Female
14 Years Of Experience
Accepts Medicare Assignment
Name
ADRIENNE KENNEDY (PA)
NPI
1386989788
Phone
(989) 466-3332
Address
321 E WARWICK DR
Enumeration Date
11 December 2012
Last Update Date
30 November 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2319356455
Graduation Year
2012 (14 years ago)
PAC ID
2264686294
Group Practice PAC ID
2062736655
Professional Enrollment ID
I20130129000192
Address ID
MI497387074GR1250XCXXX501
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness75
Years active:13State licenses:1Digital endpointsOther names

6,069 PHYSICIAN ASSISTANT in MI

Provider Addresses for ADRIENNE KENNEDY (PA)

  • 321 E WARWICK DR

    ALMA, MI 488011084

    Phone: (989) 466-3332

    Fax: (989) 466-6805

    Type: Mailing

  • 1100 E MICHIGAN AVE

    GRAYLING, MI 497381312

    Phone: (989) 348-5461

    Type: Mailing

  • 3040 Bourn St

    Lewiston, MI 497568134

    Phone: (989) 786-4877

    Type: Location

  • 3860 S Straits Hwy

    Indian River, MI 497495146

    Phone: (231) 238-0581

    Type: Location

  • 321 E Warwick Dr

    Alma, MI 488011084

    Phone: (989) 466-3332

    Fax: (989) 466-6805

    Type: Location

  • 1996 Walden Dr

    Gaylord, MI 497358241

    Phone: (989) 731-4111

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $23.

Total Amount is formed as General ($23) + Research ($0) + Ownership ($0) = $23.

Last reported payment date: 2024-07-09 • Largest payer in this snapshot: Alkermes, Inc. ($23).

Total Amount

$23

General + Research + Ownership

Payments

1

Total payment records

General Amount

$23

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-07-09

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Alkermes, Inc.$23
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: 2013-01-29

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
I20130129000192IPhysician AssistantMITBD

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
99215Established patient office or other outpatient visit, 40-54 minutes108102$0
99213Established patient office or other outpatient visit, 20-29 minutes1313$0
View full utilization report →

Insurance plans in this area (ZIP 48801)

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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: 2062736655View full group profile
NameSpecialtyState
O B S T E T R I C S/ G Y N E C O L O G YMI
Nurse PractitionerMI
Nurse PractitionerMI
-MI
-MI
Family PracticeMI
Family PracticeMI
Family PracticeMI
Internal MedicineMI
-NY

Reviews

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Frequently asked questions

How is ADRIENNE KENNEDY (PA) identified in CMS data?
CMS-hosted NPPES data lists ADRIENNE KENNEDY (PA) with NPI 1386989788.
Is ADRIENNE KENNEDY (PA) listed as active for patients and plans?
The listing shows ADRIENNE KENNEDY (PA) as active in the NPI system.
What is ADRIENNE KENNEDY (PA)'s primary classification?
Physician Assistant is the headline specialty for ADRIENNE KENNEDY (PA) here. Clinical services aligned with this taxonomy classification.
Where should I expect ADRIENNE KENNEDY (PA) on a map?
Expect Alma, Michigan as a primary anchor for ADRIENNE KENNEDY (PA) unless the record lists multiple sites.
Why does ADRIENNE KENNEDY (PA) have multiple addresses?
8 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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