KENNA LYN KENNEDY PMHNP
NPI 1073167953
Nurse Practitioner - Psychiatric/Mental Health in Sioux Falls, SD

Active since July 29, 2019PECOS EnrolledAccepts Medicare Assignment
4500 N LEWIS AVE, SIOUX FALLS, SD 57104(605) 322-2982 Get Directions Write a Review

NPPES record last updated: July 29, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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

NPI1073167953
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameKENNA LYN KENNEDYCredential: PMHNP
Location Address4500 N LEWIS AVESioux Falls, SD 57104-7111
Mailing Address4500 N Lewis AveSioux Falls, SD 57104-7111 · (605) 322-2982
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateJuly 29, 2019
NPI 1073167953 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License Licensed in SD · CP001616
4500 N LEWIS AVE, Sioux Falls, SD 57104

Accepted 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

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.

PECOS PAC ID3173937844
PECOS Enrollment IDI20210121001245
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.

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.

New Patient
$85.21 typical visit price
range $55.52 – $167.23
Typical copayment $21.30 (range $13.88 – $41.80)
Most-billed visit code 99203
Established Patient
$97.88 typical visit price
range $18.08 – $137.08
Typical copayment $24.47 (range $4.52 – $34.27)
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 20

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

Psychiatry & Neurology (Child & Adolescent Psychiatry)
4500 N LEWIS AVE
SIOUX FALLS, SD 57104
Nurse Practitioner
4500 N LEWIS AVE
SIOUX FALLS, SD 57104
Social Worker
4500 N LEWIS AVE
SIOUX FALLS, SD 57104
Registered Nurse
4500 N LEWIS AVE
SIOUX FALLS, SD 57104
Specialist
4500 N LEWIS AVE
SIOUX FALLS, SD 57104
Physician Assistant
4500 N LEWIS AVE
SIOUX FALLS, SD 57104
Nurse Practitioner (Psychiatric/Mental Health)
4500 N LEWIS AVE
SIOUX FALLS, SD 57104
Psychiatry & Neurology (Psychiatry)
4500 N LEWIS AVE
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.

What insurance does Kenna Kennedy accept?

Health plans from Avera Health Plans, Blue Cross Blue Shield of North Dakota and Sanford Health Plan 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.