Individual provider Active NPI

Chloe Kennedy

  • Physician Assistant
  • Bellevue, WA
National Provider Identifier
1992472021
Registry record updated Jun 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
61507836 Issued in WA
Practice address
13033 NE Bel Red Rd Ste 120
Bellevue, WA 98005-2633
Phone
(425) 440-3351
NPI assigned
Aug 26, 2021
Last updated
Jun 12, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 61507836 WA Primary

Addresses

Primary practice location

13033 NE Bel Red Rd Ste 120
Bellevue, WA 98005-2633

Mailing address

13033 NE Bel Red Rd Ste 120
Bellevue, WA 98005-2633
Phone (425) 440-3351

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK, WA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20230410000915 OK Practitioner - Physician Assistant 8022483825 Reassigns benefits to 1 organization
I20250307000551 WA Practitioner - Physician Assistant 8022483825 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
University of Oklahoma College of Medicine, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Acute Pain Management PLLCGroup PAC ID 7113203290, 4 clinicians

Practice addresses (Care Compare)

13033 NE Bel Red Rd
Bellevue, WA 98005-2633
Phone (425) 440-3351

Merit-based Incentive Payment System (MIPS)

Final score
81.33 of 100Reported as group
Quality
61.03
Promoting interoperability
99
Improvement activities
40
Cost
77.57

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
61507836WAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Acute Pain Management PLLC CurrentSince Dec 28, 2024 Accepting new patients

Locations

13033 NE Bel Red Rd
Ste 120
Bellevue, WA 98005
Phone (425) 440-3351

13033 NE Bel Red Rd
Ste 210
Bellevue, WA 98005
Phone (425) 440-3351

Interoperability endpoints

  • Direct secure messaging: ckennedy360645@ahs.direct-ci.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1629936000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718150400000",
    "number": "1992472021",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13033 NE BEL RED RD STE 120",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980052633",
            "telephone_number": "425-440-3351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13033 NE BEL RED RD STE 120",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980052633",
            "telephone_number": "425-440-3351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENNEDY",
        "first_name": "CHLOE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-26",
        "last_updated": "2024-06-12",
        "certification_date": "2024-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WA",
            "license": "61507836",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellevue, WA

Sources for this page

Verify at the official NPI Registry.