Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1841640547 Individual Practitioner Female Practitioner

Nerissa Nicole Kennedy , PA

Physician Assistant • Belleville, NJ

Professional Overview & Biography Verified Profile Summary

Nerissa Kennedy, PA is a registered healthcare professional specializing in Physician Assistant in Belleville, NJ. Practice services are available at 36 NEWARK AVE under active NPI credentials.

Frequently performed procedures and clinical services include established patient outpatient office visit, cervical or vaginal cancer screening; pelvic and clinical breast examination, screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

36 Newark Ave

Belleville, NJ 071094119

Telephone 9734292209
Fax 9734292210
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Belleville, NJ

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 11.0 Yrs
State Avg: 10.1 Yrs
Regional Practice Density
51 Specialists

Practicing in Belleville, NJ (3413 Statewide)

Telehealth Adoption Rate
2.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
70.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2023)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes
22 19 $264.09 $85.47
G0101 Cervical or vaginal cancer screening; pelvic and clinical breast examination
13 13 $146.54 $37.51
Q0091 Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory
11 11 $150.00 $42.15

Medical Specialties & State Licenses

CMS Verified: 2024-02-07
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License NJ 25MP00398500

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Secondary Practice Locations

372 Valley Rd

West Orange, NJ 070525303

Phone: 9734292209

195 Cortlandt St

Belleville, NJ 071093128

Phone: 9734292209

Practice Associates & Co-Workers

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

4 Associated Practitioners
Gloria Odoemena , RN, C, MS, WHNP-BC

Nurse Practitioner - Women's Health

NPI 1386961761

Registered Nurse, C, Master of Science, Women's Health Nurse Practitioner (Board Certified)

Kelley Mali , PA-C

Physician Assistant

NPI 1477811032

Physician Assistant (Certified)

Kimberly Sainvilus , APN

Nurse Practitioner

NPI 1639993421

Advanced Practice Nurse

Dr. Decca Mohammed , MD

Obstetrics & Gynecology

NPI 1679536361

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

13 Historical Events
📍
Updated Practice Location February 07, 2024

Registered at 36 NEWARK AVE, BELLEVILLE, NJ 071094119 (Tel: 9734292209)

👤
Provider Name / Credentials Updated February 07, 2024

Recorded as NERISSA KENNEDY, PA

📍
Updated Practice Location October 04, 2020

Registered at 372 VALLEY RD, WEST ORANGE, NJ 070525303 (Tel: 9734292209)

📍
Updated Business Mailing Address October 04, 2020

Registered at 1 HARMON PLZ FL 3, SECAUCUS, NJ 070942803 (Tel: 5512577039)

📍
Updated Practice Location July 24, 2019

Registered at 282 E RTE 4, PARAMUS, NJ 076525101 (Tel: 5514975677)

📍
Updated Business Mailing Address July 24, 2019

Registered at 1345 RXR PLZ FL 13, UNIONDALE, NY 115561301 (Tel: 5164530435)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 24, 2019

Physician Assistant (License #25MP00398500 in NJ)

NPI Profile Active September 10, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location September 10, 2016

Registered at 1 CLARA MAASS DR, BELLEVILLE, NJ 071093550 (Tel: 9734502000)

📍
Updated Business Mailing Address September 10, 2016

Registered at 3 CENTURY DR, PARSIPPANY, NJ 070544610 (Tel: 9737400607)

👤
Provider Name / Credentials Updated September 10, 2016

Recorded as NERISSA TAYLOR, PA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 10, 2016

Physician Assistant (License #25MP00398500 in NJ)

🟢
Initial NPI Registration & Enumeration June 14, 2016

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: 1841640547
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 14, 2016
Last Update: February 07, 2024
Sole Proprietor: No

Mailing Address

1 Harmon Plz Fl 3

Secaucus, NJ 070942803

Phone: 5512577039

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.