Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1720646375 Individual Practitioner Male Practitioner

Patrick Kennedy

Nurse Practitioner - Acute Care • Warren, MI

Professional Overview & Biography Verified Profile Summary

Patrick Kennedy is a certified Nurse Practitioner - Acute Care practicing in Warren, MI. With approximately 8 years of clinical experience since completing medical education in 2018, Patrick Kennedy delivers high-quality medical care to the local community at 11800 E 12 MILE RD.

Patrick Kennedy does not directly accept Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

11800 E 12 Mile Rd

Warren, MI 480933472

Telephone 5865735000
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

2018

Medicare Assignment

Not Specified

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner - Acute Care in Warren, MI

Experienced Practitioner (5-10 Yrs)
Practitioner Clinical Experience
8 Yrs -1.3 yrs vs City Avg
City Avg: 9.3 Yrs
State Avg: 8.8 Yrs
Regional Practice Density
15 Specialists

Practicing in Warren, MI (869 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Kennedy (8 Years) 8 Yrs
Warren Specialty Average (9.3 Years) 9.3 Yrs

Medical Specialties & State Licenses

CMS Verified: 2026-07-27
Nurse Practitioner - Acute Care Primary Specialty

NUCC Taxonomy Code: 363LA2100X

State License MI 4704301492

Definition to come...

Secondary Practice Locations

15855 19 Mile Rd

Clinton Township, MI 480383504

Phone: 5862632320

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Dr. Micheal Buggia , MD

Emergency Medicine

NPI 1003100314

Doctor of Medicine (M.D.)

Lauren Zipay , AGACNP-BC

Nurse Practitioner - Acute Care

NPI 1023653797

Adult-Gerontology Acute Care Nurse Practitioner (Board Certified)

Dr. Nathalie Pakbaz , MD

Student in an Organized Health Care Education/Training Program

NPI 1033908835

Doctor of Medicine (M.D.)

Abdulilah Obeid , PA-C

Physician Assistant

NPI 1053716811

Physician Assistant (Certified)

Dr. Samantha Green , DNP, AGACNP-BC

Nurse Practitioner - Acute Care

NPI 1114684198

Doctor of Nursing Practice, Adult-Gerontology Acute Care Nurse Practitioner (Board Certified)

Danielle Hurst , APN

Nurse Practitioner - Adult Health

NPI 1124492723

Advanced Practice Nurse

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
📍
Updated Business Mailing Address July 27, 2026

Registered at 1 FORD PL STE 3A, DETROIT, MI 482023450 (Tel: 3138744806)

NPI Profile Active May 30, 2019

NPI status registered as active in NPPES database

📍
Updated Practice Location May 30, 2019

Registered at 11800 E 12 MILE RD, WARREN, MI 480933472 (Tel: 5865735000)

📍
Updated Business Mailing Address May 30, 2019

Registered at 11800 E 12 MILE RD, WARREN, MI 480933472

👤
Provider Name / Credentials Updated May 30, 2019

Recorded as PATRICK KENNEDY

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 30, 2019

Nurse Practitioner (License #4704301492 in MI)

🟢
Initial NPI Registration & Enumeration May 30, 2019

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1720646375
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 30, 2019
Last Update: July 27, 2026
Sole Proprietor: No

Mailing Address

1 Ford Pl Ste 3a

Detroit, MI 482023450

Phone: 3138744806

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.