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MICHAEL S KENNEDY CRNA
NPI 1063414738
Nurse Anesthetist, Certified Registered in Coon Rapids, MN

Active since August 12, 2005Accepts Medicare Assignment
8990 SPRINGBROOK DR NW, COON RAPIDS, MN 55433(763) 398-0099(763) 398-0124 Get Directions Write a Review

NPPES record last updated: May 15, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Michael S Kennedy Crna NPPES

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

MICHAEL S KENNEDY CRNA (NPI 1063414738) is an individual nurse anesthetist, certified registered in Coon Rapids, Minnesota, licensed in Minnesota (R 093139-9) and active in the NPI registry since August 2005. He is affiliated with Lakeview Memorial Hospital and is a graduate of Other (1985).

NPPES Registry Identity

NPI1063414738
Entity TypeIndividualMale
Primary Taxonomy367500000X
Provider Legal NameMICHAEL S KENNEDYCredential: CRNA
Location Address8990 SPRINGBROOK DR NWCoon Rapids, MN 55433-5884
Mailing Address11490 Silverod St NwCoon Rapids, MN 55433-2640
Phone(763) 398-0099
Fax(763) 398-0124
Sole ProprietorNo
Medical School CMSOtherGraduated 1985
Enumeration DateAugust 12, 2005
Last NPPES UpdateMay 15, 2008
✔ NPI 1063414738 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
License✔ Licensed in MN · R 093139-9
Definition
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
8990 SPRINGBROOK DR NW, Coon Rapids, MN 55433
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Other Identifiers 3

Medicare PIN430001642MN
Other3T738KEMN · Bcbsmn
Medicaid260743300MN

Accepted Insurance

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

Michael S Kennedy Crna 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 ID9830378488
PECOS Enrollment IDI20110127000950

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Lakeview Memorial Hospital

Acute Care Hospitals · Stillwater, MN
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number240066
Location927 West Churchill StreetStillwater, MN 55082 · Washington County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55433 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
$127.61 typical visit price
range $56.00 – $168.28
Typical copayment $31.90 (range $14.00 – $42.07)
Most-billed visit code 99204
Established Patient
$69.74 typical visit price
range $18.32 – $138.04
Typical copayment $17.43 (range $4.58 – $34.51)
Most-billed visit code 99213
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 20

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

MARK RETZ
Nurse Anesthetist, Certified Registered
8990 SPRINGBROOK DR NW, SUITE 250
COON RAPIDS, MN 55433
Anoka County (763) 398-0124
MICHAEL D THYEN CRNA
Nurse Anesthetist, Certified Registered
8990 SPRINGBROOK DR NW, STE 250
COON RAPIDS, MN 55433
Anoka County (763) 398-0099
CYNTHIA J MARTINSON CRNA
Nurse Anesthetist, Certified Registered
8990 SPRINGBROOK DR NW, STE 250
COON RAPIDS, MN 55433
Anoka County (763) 398-0099
NEIL H STOCK CRNA
Nurse Anesthetist, Certified Registered
8990 SPRINGBROOK DR NW, STE 250
COON RAPIDS, MN 55433
Anoka County (763) 398-0099
KRISTINA K MUNYER CRNA
Nurse Anesthetist, Certified Registered
8990 SPRINGBROOK DR NW, STE 250
COON RAPIDS, MN 55433
Anoka County (763) 398-0099
SCOTT M PETERSON CRNA
Nurse Anesthetist, Certified Registered
8990 SPRINGBROOK DR NW, STE 250
COON RAPIDS, MN 55433
Anoka County (763) 398-0099
DANIEL P LORENZ CRNA
Nurse Anesthetist, Certified Registered
8990 SPRINGBROOK DR NW, STE 250
COON RAPIDS, MN 55433
Anoka County (763) 398-0099
SUSAN M WEBB CRNA
Nurse Anesthetist, Certified Registered
8990 SPRINGBROOK DR NW, STE 250
COON RAPIDS, MN 55433
Anoka County (763) 398-0099

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 Michael Kennedy's NPI number?

The NPI number for Michael Kennedy is 1063414738. It was assigned to this individual provider in the NPPES registry on August 12, 2005.

Where is Michael Kennedy located?

Michael Kennedy practices at 8990 Springbrook Dr NW, Coon Rapids, MN 55433. The listed phone number is (763) 398-0099.

What is Michael Kennedy's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Is Michael Kennedy enrolled in Medicare?

Yes. Michael 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.

What insurance does Michael Kennedy accept?

Health plans from Medica list Michael 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.

Is Michael Kennedy affiliated with any hospitals?

According to CMS data, Michael Kennedy is affiliated with Lakeview Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Michael Kennedy was last updated on May 15, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.