Samantha Kennedy, PA-C
NPI 1003691072ActiveIndividual· Physician Assistant· Fairfield, CT
Physician Assistant (PA-C) in Fairfield, Connecticut, with an NPI issued in August 2023. Enrolled in Medicare as practitioner - physician assistant.
Overview
| NPI | 1003691072 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA-C |
| Sole proprietor | No |
| NPI issued | Aug 29, 2023 |
| Last updated in NPPES | Feb 24, 2024 |
| Certified by provider | Feb 24, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physician Assistant (DC) |
|---|
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other Physician Assistant providers in Fairfield
- 1639767130
- 1396490330
- 1659278380
- 1811708589
- 1396311106
- 1578562526
- 1598717571
- 1245165067
- 1619244043
- 1083151898
- 1699416461
- 1134961006