MRS. AMANDA LAUREN KENNEDY AGACNP-BC
NPI 1063937696
Nurse Practitioner - Acute Care in Blue Ash, OH

Q: What is Amanda Kennedy's NPI number?

The NPI number for Amanda Kennedy is 1063937696. It was assigned to this individual provider in the NPPES registry on August 4, 2017. The provider is also known as Amanda Peterson-Bledsoe Agacnp-Bc.

Q: What is Amanda Kennedy's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Q: When was this NPI record last updated?

The NPPES record for Amanda Kennedy was last updated on November 18, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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 August 04, 2017PECOS EnrolledAccepts Medicare Assignment

11690 GROOMS RD, BLUE ASH, OH 45242(513) 917-9697 Get Directions Write a Review

NPPES record last updated: November 18, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 18, 2022, Sep 28, 2018, Aug 4, 2017 (3 updates tracked since 2017).

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About Mrs. Amanda Lauren Kennedy Agacnp-bc NPPES

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

MRS. AMANDA LAUREN KENNEDY AGACNP-BC (NPI 1063937696) is an individual acute care provider in Blue Ash, Ohio, licensed in Ohio (APRN.CNP.021254) and active in the NPI registry since August 2017. She is enrolled in Medicare PECOS, is affiliated with Bethesda North, and maintains 10 additional practice locations.

NPPES Registry Identity

NPI1063937696

Entity TypeIndividualFemale

Primary Taxonomy363LA2100X

Provider Legal NameMRS. AMANDA LAUREN KENNEDYCredential: AGACNP-BC

Location Address11690 GROOMS RDBlue Ash, OH 45242-1412

Mailing Address4615 Northridge DrBatavia, OH 45103-1385 · (513) 917-9697 · Fax (513) 901-8068

Phone(513) 917-9697

Sole ProprietorNo

Medical School CMSOtherGraduated 2017

Enumeration DateAugust 4, 2017

Last NPPES UpdateNovember 18, 20223 updates tracked since enumeration

NPPES CertifiedNovember 18, 2022

✔ NPI 1063937696 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2100X

License✔ Licensed in OH · APRN.CNP.021254

Also ListedRegistered NurseTaxonomy 163W00000X · License RN.391672 (OH)

11690 GROOMS RD, Blue Ash, OH 45242

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Other Names 1

Former Name (1)Amanda Peterson-bledsoe Agacnp-bc

Secondary Practice Locations 10

Location 12250 Banning RdCincinnati, OH 45239-6608 · Phone (513) 917-9697

Location 212745 Elm Corner RdWilliamsburg, OH 45176-9621 · Phone (513) 917-9697

Location 33434 OH-132Amelia, OH 45102 · Phone (513) 917-9697

Location 4700 Monroe RdLebanon, OH 45036-1409 · Phone (513) 917-9697

Location 53000 McGee AveMiddletown, OH 45044-4991 · Phone (513) 917-9697

Location 6230 Cherry StChillicothe, OH 45601-2301 · Phone (513) 917-9697

Location 7126 Wilson DrXenia, OH 45385-1848 · Phone (513) 917-9697

Location 84960 Old U.S. 35Jamestown, OH 45335 · Phone (513) 917-9697

Location 97300 McEwen RdDayton, OH 45459-3903 · Phone (513) 917-9697

Location 10425 Lauricella CtEnglewood, OH 45322 · Phone (513) 917-9697

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, Molina Healthcare.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

Mrs. Amanda Lauren Kennedy Agacnp-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 ID4688905623

PECOS Enrollment IDI20191007000596, I20250108000610

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 5

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

968 services137 patients

Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes 99349

An established patient home visit is a medical appointment conducted at your home, typically lasting around 40 minutes. This service is ideal for patients who may find it difficult to travel to a healthcare facility. During this visit, a healthcare professional will evaluate your health status, manage your care, and answer any health-related questions you may have.

117 services31 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

96 services91 patients

Residence visit for new patient with high level of medical decision making, per day, if using time, at least 75 minutes 99345

A new patient home visit is a comprehensive 75-minute appointment conducted at your home. The healthcare professional will assess your health, discuss any concerns, and create a personalized care plan. It's convenient, comfortable, and tailored to your specific needs.

16 services16 patients

Residence visit for new patient with low level of medical decision making, per day, if using time, at least 30 minutes 99342

A new patient home visit is a 30-minute appointment where a healthcare provider comes to your home to assess your health needs. This can include discussing your medical history, current conditions, and treatment plans. It's a convenient way to receive care in your own environment.

15 services15 patients

Hospital Affiliations CMS Care Compare

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

Bethesda North

Acute Care Hospitals · Cincinnati, OH

3/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number360179

Location10500 Montgomery RoadCincinnati, OH 45242 · Hamilton County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45242 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

$84.72 typical visit price

range $54.34 – $166.65

Typical copayment $21.18 (range $13.58 – $41.66)

Most-billed visit code 99203

Established Patient

$96.44 typical visit price

range $17.10 – $135.40

Typical copayment $24.11 (range $4.27 – $33.85)

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 6

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

TERA LEE HOWARD FNP-C

Nurse Practitioner (Family)