MICHAEL S KENNEDY CRNA
NPI 1063414738
Nurse Anesthetist, Certified Registered in Coon Rapids, MN
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 enrolled in Medicare PECOS, is affiliated with Lakeview Memorial Hospital, and is a graduate of Other (1985).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 3
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
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.
Medicare Billing Reassignments
2Medicare enrollment records show Michael Kennedy reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Plymouth, MN 55447
- Reassigned Medicare billing, Minnesota enrollment
- 1,033 clinicians in this Medicare group
Saint Paul, MN 55101
- Reassigned Medicare billing, Minnesota enrollment
- 119 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.
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, MNPhysician 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.
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.
COON RAPIDS, MN 55433
COON RAPIDS, MN 55433
COON RAPIDS, MN 55433
COON RAPIDS, MN 55433
COON RAPIDS, MN 55433
COON RAPIDS, MN 55433
COON RAPIDS, MN 55433
COON RAPIDS, MN 55433
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.
Which organizations bill Medicare for Michael Kennedy's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Michael Kennedy reassigns Medicare benefits to 2 organizations: Metropolitan Anesthesia Network, LLP (Plymouth, MN) and Twin Cities Anesthesia Associates PC (Saint Paul, MN). 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 Michael Kennedy's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
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 weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.
# Michael S Kennedy, CRNA · NPI 1063414738
Nurse Anesthetist, Certified Registered physician in Coon Rapids, Minnesota. Individual provider, active in the CMS NPPES registry since August 12, 2005.
## Identity
- **NPI:** 1063414738 (Entity type: Individual)
- **Enumerated:** August 12, 2005
- **Primary specialty:** Nurse Anesthetist, Certified Registered · taxonomy 367500000X
- **State license:** R 093139-9 (Minnesota)
- **Sole proprietor:** No
## Practice location
- **Address:** 8990 SPRINGBROOK DR NW, Coon Rapids, MN 55433-5884
- **Phone:** (763) 398-0099 · **Fax:** (763) 398-0124
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Metropolitan Anesthesia Network, LLP (NPI 1558314427, Plymouth, MN); Twin Cities Anesthesia Associates PC (NPI 1982125456, Saint Paul, MN) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1985
## Record status
- **NPPES last updated:** May 15, 2008
- **Other identifiers:** Medicare PIN 430001642 (MN); Other 3T738KE (MN); Medicaid 260743300 (MN)
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Source: [NPI Profile](https://npiprofile.com/npi/1063414738) · Data from the CMS NPPES public registry.