SHALENE ANN KENNEDY MD
NPI 1043295876
Psychiatry & Neurology - Child & Adolescent Psychiatry in Woodbury, MN

Q: What is Shalene Kennedy's NPI number?

The NPI number for Shalene Kennedy is 1043295876. It was assigned to this individual provider in the NPPES registry on December 14, 2005.

Q: What is Shalene Kennedy's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Child & Adolescent Psychiatry, with taxonomy code 2084P0804X.

Q: When was this NPI record last updated?

The NPPES record for Shalene Kennedy was last updated on November 22, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since December 14, 2005PECOS EnrolledAccepts Medicare Assignment

2040 WOODWINDS DR, WOODBURY, MN 55125(651) 259-9750(651) 259-9790 Get Directions Write a Review

NPPES record last updated: November 22, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Shalene Ann Kennedy Md NPPES

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

SHALENE ANN KENNEDY MD (NPI 1043295876) is an individual child & adolescent psychiatry provider in Woodbury, Minnesota, licensed in Minnesota (38890) and active in the NPI registry since December 2005. She is enrolled in Medicare PECOS and is a graduate of Creighton University School Of Medicine (1995).

NPPES Registry Identity

NPI1043295876

Entity TypeIndividualFemale

Primary Taxonomy2084P0804X

Provider Legal NameSHALENE ANN KENNEDYCredential: MD

Location Address2040 WOODWINDS DRWoodbury, MN 55125-2522

Mailing Address2040 Woodwinds DrWoodbury, MN 55125-2522 · (651) 259-9750 · Fax (651) 259-9790

Phone(651) 259-9750

Fax(651) 259-9790

Sole ProprietorNo

Medical School CMSCreighton University School Of MedicineGraduated 1995

Enumeration DateDecember 14, 2005

Last NPPES UpdateNovember 22, 2023

NPPES CertifiedNovember 22, 2023

✔ NPI 1043295876 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · Child & Adolescent PsychiatryAllopathic & Osteopathic Physicians

Taxonomy Code2084P0804X

License✔ Licensed in MN · 38890

Definition

Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.

2040 WOODWINDS DR, Woodbury, MN 55125

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Other Identifiers 3

Medicaid951485600MN

Other991N6KEMN · Bcbs Of Mn

Other1561501MN · Medica

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HealthPartners.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Shalene Ann Kennedy Md 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.

PECOS PAC ID7214977941

PECOS Enrollment IDI20050512000381

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.

Areas of Expertise CMS Part B claims

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

61 services17 patients

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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.

LAURIE GEDDES MS, PMHNP

Nurse Practitioner (Psychiatric/Mental Health)