Warren Kennedy, PA-C
NPI 1083898290 · Medical Physician Assistant · Great Lakes, IL
Enrolled with Medicare as Order and Referring Only - Physician Assistant · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Warren Kennedy, PA-C is a Medical Physician Assistant provider in Great Lakes, IL (NPI 1083898290).
Provider details
- NPI number
- 1083898290
- Entity type
- Individual
- Primary specialty
- Medical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2007-12-24
- Last updated
- 2007-12-24
Frequently asked questions
- What is Warren Kennedy's NPI number?
- Warren Kennedy's National Provider Identifier (NPI) is 1083898290, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Warren Kennedy's specialty?
- Warren Kennedy is listed in the NPPES registry with a primary specialty of Medical Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Warren Kennedy located?
- Warren Kennedy's practice location on file with NPPES is 3420 Illinois St, Great Lakes, IL 60088-3120.
- What is Warren Kennedy's phone number?
- The practice phone number listed in the NPPES registry for Warren Kennedy is (847) 688-2522.
- Does Warren Kennedy accept Medicare?
- Warren Kennedy is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Warren Kennedy's NPI active?
- Yes — Warren Kennedy's NPI (1083898290) is active in the NPPES registry as of the last update on 2007-12-24.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.