DR. LYNNETTE HANSEN KENNISON PMHCNS-BC
NPI 1053510149
Nurse Practitioner - Psychiatric/Mental Health in Jacksonville, FL

Q: What is Lynnette Kennison's NPI number?

The NPI number for Lynnette Kennison is 1053510149. It was assigned to this individual provider in the NPPES registry on July 17, 2007. The provider is also known as Lynnette Hansen Pmhcns-Bc, Phd.

Q: What is Lynnette Kennison's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Lynnette Kennison was last updated on October 19, 2023. 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.

Active since July 17, 2007PECOS EnrolledAccepts Medicare Assignment

9889 GATE PKWY N STE 305, JACKSONVILLE, FL 32246(904) 725-6463(904) 329-2349 Get Directions Write a Review

NPPES record last updated: October 19, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 19, 2023, Jan 31, 2019 (2 updates tracked since 2019).

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About Dr. Lynnette Hansen Kennison Pmhcns-bc NPPES

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

DR. LYNNETTE HANSEN KENNISON PMHCNS-BC (NPI 1053510149) is an individual psychiatric/mental health provider in Jacksonville, Florida, licensed in Florida (ARNP1117892) and active in the NPI registry since July 2007. She is enrolled in Medicare PECOS and is a graduate of Other (2003).

NPPES Registry Identity

NPI1053510149

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameDR. LYNNETTE HANSEN KENNISONCredential: PMHCNS-BC

Location Address9889 GATE PKWY N STE 305Jacksonville, FL 32246-9230

Mailing Address9889 Gate Pkwy N Ste 305Jacksonville, FL 32246-9230 · (904) 725-6463 · Fax (904) 329-2349

Phone(904) 725-6463

Fax(904) 329-2349

Sole ProprietorNo

Medical School CMSOtherGraduated 2003

Enumeration DateJuly 17, 2007

Last NPPES UpdateOctober 19, 20232 updates tracked since enumeration

NPPES CertifiedOctober 19, 2023

✔ NPI 1053510149 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 FL · ARNP1117892

9889 GATE PKWY N STE 305, Jacksonville, FL 32246

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Other Names 1

Former Name (1)Lynnette Hansen Pmhcns-bc, Phd

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health Maintenance Organization of Florida, UnitedHealthcare.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

Dr. Lynnette Hansen Kennison Pmhcns-bc 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 ID8729070974

PECOS Enrollment IDI20040330001617

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 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.

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.

145 services37 patients

Psychotherapy with evaluation and management visit, 30 minutes 90833

Psychotherapy with evaluation and management is a 30-minute session where a mental health professional talks with you about your concerns and feelings. They assess your mental health, provide support, and manage your treatment plan to help improve your well-being.

42 services18 patients

Psychotherapy with evaluation and management visit, 45 minutes 90836

Psychotherapy with evaluation and management is a 45-minute session where a healthcare provider discusses your mental and emotional health. They assess your current state, manage any issues, and help you develop coping strategies. This service aims to improve your overall well-being.

37 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32246 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

$87.62 typical visit price

range $56.00 – $171.84

Typical copayment $21.90 (range $14.00 – $42.96)

Most-billed visit code 99203

Established Patient

$99.16 typical visit price

range $17.57 – $139.16

Typical copayment $24.79 (range $4.39 – $34.79)

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 11

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

JAMES TULLY APRN

Nurse Practitioner (Psychiatric/Mental Health)