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COLIN KENNY CRNP-BC
NPI 1043066103
Nurse Practitioner - Psychiatric/Mental Health in Stroudsburg, PA

Active since April 29, 2024PECOS Enrolled
1172 W MAIN ST # B, STROUDSBURG, PA 18360(570) 424-6187 Get Directions Write a Review

NPPES record last updated: April 29, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Colin Kenny Crnp-bc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

COLIN KENNY CRNP-BC (NPI 1043066103) is an individual psychiatric/mental health provider in Stroudsburg, Pennsylvania, licensed in Pennsylvania (SP029627) and active in the NPI registry since April 2024. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1043066103
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameCOLIN KENNYCredential: CRNP-BC
Location Address1172 W MAIN ST # BStroudsburg, PA 18360-1323
Mailing Address1172 W Main St # BStroudsburg, PA 18360-1323 · (570) 424-6187
Phone(570) 424-6187
Sole ProprietorNo
Enumeration DateApril 29, 2024
NPPES CertifiedApril 29, 2024
✔ NPI 1043066103 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in PA · SP029627
1172 W MAIN ST # B, Stroudsburg, PA 18360
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Colin Kenny Crnp-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Colin Kenny reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Isl, Ltd
Same address
Psychiatry
1172 WEST MAIN STREET
Stroudsburg, PA 18360
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 11 clinicians in this Medicare group
NPI 1770592370 (570) 424-6187

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 18360 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

REBECCA DIETTERICH
Nurse Practitioner (Psychiatric/Mental Health)
1172 W MAIN ST # B
STROUDSBURG, PA 18360
Monroe County (570) 424-6187

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 Colin Kenny's NPI number?

The NPI number for Colin Kenny is 1043066103. It was assigned to this individual provider in the NPPES registry on April 29, 2024.

Where is Colin Kenny located?

Colin Kenny practices at 1172 W Main St # B, Stroudsburg, PA 18360. The listed phone number is (570) 424-6187.

What is Colin Kenny's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Colin Kenny enrolled in Medicare?

Yes. Colin Kenny is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Colin Kenny's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Colin Kenny reassigns Medicare benefits to Isl, Ltd (Stroudsburg, PA). The 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 Colin Kenny's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Colin Kenny was last updated on April 29, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.