DANA ELIZABETH KENNEDY (MD) – Family Medicine Physician, NPI 1063064525

DANA ELIZABETH KENNEDY (MD) is a healthcare provider. based in Stowe, Vermont. specializing in FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. 042.0016306 (VT). The NPI Number for DANA ELIZABETH KENNEDY (MD) is 1063064525

Main info

Female
7 Years Of Experience
Accepts Medicare Assignment
Name
DANA ELIZABETH KENNEDY (MD)
NPI
1063064525
Phone
(802) 253-4853
Address
1878 Mountain Rd
Enumeration Date
15 July 2019
Last Update Date
3 August 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8026445114
Graduation Year
2019 (7 years ago)
PAC ID
9830425982
Group Practice PAC ID
4789586942
Professional Enrollment ID
I20221020002199
Address ID
VT054449810CA272XXSTXX403
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience36
Completeness75
Years active:6State licenses:1Digital endpointsOther names

355 FAMILY PRACTICE in VT

Provider Addresses for DANA ELIZABETH KENNEDY (MD)

  • 1878 Mountain Rd

    Stowe, VT 056724776

    Phone: (802) 253-4853

    Fax: (802) 888-1759

    Type: Location

  • 76, High Street, Lewiston, Androscoggin County, Maine, 04240, United States

    LEWISTON, ME 042407649

    Phone: (207) 795-2800

    Type: Location

  • PO BOX 749

    MORRISVILLE, VT 056610749

    Phone: (802) 851-8619

    Fax: (802) 851-8716

    Type: Mailing

  • 609 WASHINGTON HWY

    MORRISVILLE, VT 056618652

    Phone: (802) 888-5639

    Fax: (802) 888-6040

    Type: Location

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.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2022-10-20

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
I20221020002199IFamily PracticeVTTBD

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
83036Hemoglobin a1c level12557$0
82044Urine microalbumin (protein) analysis4847$0
81003Automated urinalysis test2826$0
87804Detection test by immunoassay with direct visual observation for influenza virus2424$0
80061Blood test, lipids (cholesterol and triglycerides)2321$0
View full utilization report →

Insurance plans in this area (ZIP 05672)

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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: 4789586942View full group profile
NameSpecialtyState
-VT
Clinical Social WorkerVT
Family Practice, Obstetrics/GynecologyVT
Family PracticeVT
Nurse PractitionerVT
Physician AssistantVT
Pediatric MedicineMA
Family PracticeVT
-VT
Nurse PractitionerVT

Reviews

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Frequently asked questions

Is there an official ID for DANA ELIZABETH KENNEDY (MD) in U.S. healthcare records?
The official identifier for DANA ELIZABETH KENNEDY (MD) is NPI 1063064525.
Active or inactive — what applies to DANA ELIZABETH KENNEDY (MD)?
You should see DANA ELIZABETH KENNEDY (MD) as active in CMS-hosted NPPES data.
How would a patient describe DANA ELIZABETH KENNEDY (MD)'s focus?
For DANA ELIZABETH KENNEDY (MD), the primary taxonomy reads as Family Medicine Physician. Clinical services aligned with this taxonomy classification.
What practice footprint exists for DANA ELIZABETH KENNEDY (MD)?
Travel planning: use Stowe, Vermont as the reference point for DANA ELIZABETH KENNEDY (MD), then confirm.
What does 5 location(s) imply?
5 practice locations appear in the available data.

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