BETHANY JOY KENNEDY APRN
NPI 1003301136
Nurse Practitioner - Acute Care in Willimantic, CT
About Bethany Joy Kennedy Aprn NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BETHANY JOY KENNEDY APRN (NPI 1003301136) is an individual acute care provider in Willimantic, Connecticut, licensed in Connecticut (7663) and active in the NPI registry since July 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2017).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Bethany Joy Kennedy Aprn is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
2Medicare enrollment records show Bethany Kennedy reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Norwich, CT 06360
- Reassigned Medicare billing, Connecticut enrollment
- 430 clinicians in this Medicare group
Willimantic, CT 06226
- Reassigned Medicare billing, Connecticut enrollment
- 302 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 3
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 06226 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
WILLIMANTIC, CT 06226
WILLIMANTIC, CT 06226
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Bethany Kennedy's NPI number?
The NPI number for Bethany Kennedy is 1003301136. It was assigned to this individual provider in the NPPES registry on July 1, 2018.
Where is Bethany Kennedy located?
Bethany Kennedy practices at 112 Mansfield Ave, Willimantic, CT 06226. The listed phone number is (860) 456-9116.
What is Bethany Kennedy's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.
Is Bethany Kennedy enrolled in Medicare?
Yes. Bethany Kennedy is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Bethany Kennedy's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Bethany Kennedy reassigns Medicare benefits to 2 organizations: William W Backus Hospital (Norwich, CT) and Windham Community Memorial Hospital, Inc. (Willimantic, CT). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Bethany Kennedy's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Bethany Kennedy accept?
Health plans from Anthem Blue Cross and Blue Shield list Bethany Kennedy as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Bethany Kennedy was last updated on July 26, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Bethany Joy Kennedy, APRN · NPI 1003301136
Acute Care physician in Willimantic, Connecticut. Individual provider, active in the CMS NPPES registry since July 1, 2018.
## Identity
- **NPI:** 1003301136 (Entity type: Individual)
- **Enumerated:** July 1, 2018
- **Primary specialty:** Nurse Practitioner - Acute Care · taxonomy 363LA2100X
- **State license:** 7663 (Connecticut)
- **Sole proprietor:** No
## Practice location
- **Address:** 112 MANSFIELD AVE, Willimantic, CT 06226
- **Phone:** (860) 456-9116
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): William W Backus Hospital (NPI 1730243536, Norwich, CT); Windham Community Memorial Hospital, Inc. (NPI 1023191467, Willimantic, CT) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2017
## Record status
- **NPPES last updated:** July 26, 2018
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Source: [NPI Profile](https://npiprofile.com/npi/1003301136) · Data from the CMS NPPES public registry.