KENNA LYN KENNEDY PMHNP
NPI 1073167953
Nurse Practitioner - Psychiatric/Mental Health in Sioux Falls, SD
About Kenna Lyn Kennedy Pmhnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KENNA LYN KENNEDY PMHNP (NPI 1073167953) is an individual psychiatric/mental health provider in Sioux Falls, South Dakota, licensed in South Dakota (CP001616) and active in the NPI registry since July 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2019).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
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
Kenna Lyn Kennedy Pmhnp 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
6Medicare enrollment records show Kenna Kennedy reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Rosebud, SD 57570
- Reassigned Medicare billing, Texas enrollment
- 386 clinicians in this Medicare group
Fort Yates, ND 58538
- Reassigned Medicare billing, Texas enrollment
- 71 clinicians in this Medicare group
Rapid City, SD 57702
- Reassigned Medicare billing, Texas enrollment
- 119 clinicians in this Medicare group
Belcourt, ND 58316
- Reassigned Medicare billing, Texas enrollment
- 193 clinicians in this Medicare group
Poplar, MT 59255
- Reassigned Medicare billing, Texas enrollment
- Medicare enrollment name: U S Health Dept Of Health & Human Services
- 306 clinicians in this Medicare group
Fort Washakie, WY 82514
- Reassigned Medicare billing, Texas enrollment
- 31 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 57104 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.
SIOUX FALLS, SD 57104
SIOUX FALLS, SD 57104
SIOUX FALLS, SD 57104
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 Kenna Kennedy's NPI number?
The NPI number for Kenna Kennedy is 1073167953. It was assigned to this individual provider in the NPPES registry on July 29, 2019.
Where is Kenna Kennedy located?
Kenna Kennedy practices at 4500 N Lewis Ave, Sioux Falls, SD 57104. The listed phone number is (605) 322-2982.
What is Kenna Kennedy's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Kenna Kennedy enrolled in Medicare?
Yes. Kenna 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 Kenna Kennedy's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kenna Kennedy reassigns Medicare benefits to 6 organizations: Rosebud Indian Health Service (Rosebud, SD), Fort Yates Indian Health Service Hospital (Fort Yates, ND), Great Plains Tribal Chairmen's Health Board (Rapid City, SD), Quentin N Burdick Comprehensive Health Care Facility (Belcourt, ND), Us Health Dept Of Health & Human Services (Poplar, MT) and 1 more organization, listed in the Medicare section above. 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 Kenna Kennedy's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kenna Kennedy accept?
Health plans from Avera Health Plans, Blue Cross Blue Shield of North Dakota, Sanford Health Plan, UnitedHealthcare and Wellmark of South Dakota, Inc. list Kenna 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.
When was this NPI record last updated?
The NPPES record for Kenna Kennedy was last updated on July 29, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.
# Kenna Lyn Kennedy, PMHNP · NPI 1073167953
Psychiatric/Mental Health physician in Sioux Falls, South Dakota. Individual provider, active in the CMS NPPES registry since July 29, 2019.
## Identity
- **NPI:** 1073167953 (Entity type: Individual)
- **Enumerated:** July 29, 2019
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** CP001616 (South Dakota)
- **Sole proprietor:** No
## Practice location
- **Address:** 4500 N LEWIS AVE, Sioux Falls, SD 57104-7111
- **Phone:** (605) 322-2982
## 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:** 6 organizations under Medicare reassignment (form CMS-855R): Rosebud Indian Health Service (NPI 1194757369, Rosebud, SD); Fort Yates Indian Health Service Hospital (NPI 1609851039, Fort Yates, ND); Great Plains Tribal Chairmen's Health Board (NPI 1376105452, Rapid City, SD); Quentin N Burdick Comprehensive Health Care Facility (NPI 1952346934, Belcourt, ND); Us Health Dept Of Health & Human Services (NPI 1972694602, Poplar, MT); and 1 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2019
## Record status
- **NPPES last updated:** July 29, 2019
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Source: [NPI Profile](https://npiprofile.com/npi/1073167953) · Data from the CMS NPPES public registry.