MRS. AMANDA LAUREN KENNEDY AGACNP-BC
NPI 1063937696
Nurse Practitioner - Acute Care in Blue Ash, OH
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, maintains 10 additional practice locations, and is a graduate of Other (2017).
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Secondary Practice Locations 10
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
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.
Medicare Billing Reassignments
5Medicare enrollment records show Amanda Kennedy reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Anderson, IN 46013
- Reassigned Medicare billing, Ohio enrollment
- 16 clinicians in this Medicare group
Nashville, TN 37219
- Reassigned Medicare billing, Ohio enrollment
- 271 clinicians in this Medicare group
Skokie, IL 60077
- Reassigned Medicare billing, Kentucky and Ohio enrollments
- 2 clinicians in this Medicare group
Skokie, IL 60077
- Reassigned Medicare billing, Kentucky and Ohio enrollments
- 2 clinicians in this Medicare group
Uniondale, NY 11553
- Reassigned Medicare billing, Kentucky and Ohio enrollments
- 2 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.
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.
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.
Other Providers at the Same Location NPPES 5
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
BLUE ASH, OH 45242
BLUE ASH, OH 45242
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 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.
Where is Amanda Kennedy located?
Amanda Kennedy practices at 11690 Grooms Rd, Blue Ash, OH 45242. The listed phone number is (513) 917-9697.
What is Amanda Kennedy's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.
Is Amanda Kennedy enrolled in Medicare?
Yes. Amanda 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 Amanda Kennedy's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Amanda Kennedy reassigns Medicare benefits to 5 organizations: Psychiatric Management Services (Anderson, IN), Community Care Health Network LLC (Nashville, TN), Hansa Medical Groupe PLLC (Skokie, IL), Hansamssp LLC (Skokie, IL) and Ny Long-Term Care Physician Services, PC (Uniondale, NY). 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 Amanda Kennedy's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
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.
# Mrs. Amanda Lauren Kennedy, AGACNP-BC · NPI 1063937696
Acute Care physician in Blue Ash, Ohio. Individual provider, active in the CMS NPPES registry since August 4, 2017.
## Identity
- **NPI:** 1063937696 (Entity type: Individual)
- **Enumerated:** August 4, 2017
- **Primary specialty:** Nurse Practitioner - Acute Care · taxonomy 363LA2100X
- **State license:** APRN.CNP.021254 (Ohio)
- **Sole proprietor:** No
## Practice location
- **Address:** 11690 GROOMS RD, Blue Ash, OH 45242-1412
- **Phone:** (513) 917-9697
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 5 organizations under Medicare reassignment (form CMS-855R): Psychiatric Management Services (NPI 1942677281, Anderson, IN); Community Care Health Network LLC (NPI 1619368842, Nashville, TN); Hansa Medical Groupe PLLC (NPI 1386804615, Skokie, IL); Hansamssp LLC (NPI 1013700541, Skokie, IL); Ny Long-Term Care Physician Services, PC (NPI 1477121549, Uniondale, NY) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2017
## Record status
- **NPPES last updated:** November 18, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1063937696) · Data from the CMS NPPES public registry.