DR. CADY NOELLE KENNEDY (MD) – Emergency Medicine Physician, NPI 1093205395
Emergency Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,206 EMERGENCY MEDICINE in WA
Provider Addresses for DR. CADY NOELLE KENNEDY (MD)
4312 Pacific Ave SE
Lacey, WA 985031117
Phone: (564) 669-5200
Type: Location
Marietta Memorial Hospital, 401, Matthew Street, Riverdale, Marietta, Washington County, Ohio, 45750, United States
ATTN: EMERGENCY MEDICINE RESIDENCY PROGRAM
MARIETTA, OH 45750
Phone: (740) 568-5669
Type: Mailing
PO BOX 845856
LOS ANGELES, CA 900845856
Phone: (253) 403-4901
Fax: (626) 623-1227
Type: Mailing
3900 CAPITAL MALL DR SW
OLYMPIA, WA 985025026
Phone: (360) 754-5858
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: 2021-07-27
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20210727001662 | I | Emergency Medicine | WA | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99285 | Emergency department visit with high level of medical decision making | 256 | 253 | $0 |
| 93010 | Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only | 159 | 140 | $0 |
| 99284 | Emergency department visit with moderate level of medical decision making | 136 | 131 | $0 |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 41 | 41 | $0 |
| 99291 | Critical care, first 30-74 minutes | 39 | 39 | $0 |
Insurance plans in this area (ZIP 98503)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Emergency Medicine | TX | |
| Emergency Medicine | WA | |
| Physician Assistant | WA | |
| Emergency Medicine | WA | |
| Emergency Medicine | OH | |
| Emergency Medicine | VA | |
| Physician Assistant | WA | |
| Emergency Medicine | AZ | |
| Emergency Medicine | RI | |
| Emergency Medicine | OR |
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