DR. NICOLE A KENNEDY (MD) – Vascular Surgery Physician, NPI 1679782395

DR. NICOLE A KENNEDY (MD) is a healthcare provider. based in West bloomfield, Michigan. specializing in Vascular Surgery Physician. They hold the professional credentials MD. They hold a License No. 4301081948 (MI). The NPI Number for DR. NICOLE A KENNEDY (MD) is 1679782395

Main info

Female
27 Years Of Experience
Accepts Medicare Assignment
Name
DR. NICOLE A KENNEDY (MD)
NPI
1679782395
Phone
(248) 325-3087
Address
6777 W MAPLE RD
Enumeration Date
21 May 2007
Last Update Date
26 April 2013

Doctor Profile

Medical School Name
WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
3139162600
Graduation Year
1999 (27 years ago)
PAC ID
7911151782
Group Practice PAC ID
0547178311
Professional Enrollment ID
I20130201000124
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience57
Completeness75
Years active:19State licenses:1Digital endpointsOther names

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Provider Addresses for DR. NICOLE A KENNEDY (MD)

  • Henry Ford West Bloomfield Hospital, 6777, West Maple Road, West Bloomfield Township, Oakland County, Michigan, 48322, United States

    DEPARTMENT OF VASCULAR SURGERY

    WEST BLOOMFIELD, MI 483223013

    Phone: (248) 325-3087

    Fax: (248) 325-0071

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

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

No Medicare enrollment or revalidation data available for this provider in our database.

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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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 48322)

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Provider's Procedures

DR. NICOLE A KENNEDY (MD) performs procedures in Vascular Surgery Physician. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
VASCULAR SURGERYMI93971Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers323296

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: 0547178311View full group profile
NameSpecialtyState
-MI
Gastroenterology, Internal MedicinePA
Certified Registered Nurse Anesthetist (Crna)MI
Clinical Social WorkerMI
-MI
Physician AssistantMI
Qualified AudiologistMI
O P H T H A L M O L O G YMI
-MI
-MI

Reviews

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Frequently asked questions

What is the standard ID for DR. NICOLE A KENNEDY (MD) in the U.S.?
In the U.S., DR. NICOLE A KENNEDY (MD) is identified by NPI 1679782395.
Should I treat DR. NICOLE A KENNEDY (MD) as an active provider?
Patients and plans typically see DR. NICOLE A KENNEDY (MD) as active in the national extract.
What does the directory say DR. NICOLE A KENNEDY (MD) does?
Insurance directories may phrase it differently, but here DR. NICOLE A KENNEDY (MD) maps to Vascular Surgery Physician. Clinical services aligned with this taxonomy classification.
Which community is linked to DR. NICOLE A KENNEDY (MD)?
DR. NICOLE A KENNEDY (MD) shows a connection to West Bloomfield, Michigan in registry-derived data.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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