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LESLIE MARIE KENNEDY NP-C
NPI 1114400256
Nurse Practitioner - Family in Central Falls, RI

Active since September 14, 2018PECOS Enrolled
1000 BROAD ST, CENTRAL FALLS, RI 02863(401) 722-0081 Get Directions Write a Review

NPPES record last updated: April 13, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 13, 2026, Sep 5, 2024, Dec 8, 2021 and 3 more (6 updates tracked since 2018).

About Leslie Marie Kennedy Np-c NPPES

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

LESLIE MARIE KENNEDY NP-C (NPI 1114400256) is an individual family provider in Central Falls, Rhode Island, licensed in Rhode Island (APRN04983) and active in the NPI registry since September 2018. She is enrolled in Medicare PECOS and is a graduate of Boston University School Of Medicine (2018).

NPPES Registry Identity

NPI1114400256
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameLESLIE MARIE KENNEDYCredential: NP-C
Location Address1000 BROAD STCentral Falls, RI 02863-1507
Mailing Address39 East AvePawtucket, RI 02860-4003 · (401) 312-5247
Phone(401) 722-0081
Sole ProprietorNo
Medical School CMSBoston University School Of MedicineGraduated 2018
Enumeration DateSeptember 14, 2018
Last NPPES UpdateApril 13, 20266 updates tracked since enumeration
NPPES CertifiedApril 13, 2026
✔ NPI 1114400256 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Licenses✔ Licensed in RI · APRN04983✔ Licensed in CO · APN0997082NP✔ Licensed in IL · 209018394✔ Licensed in MI · 4704347248
1000 BROAD ST, Central Falls, RI 02863
Open in Google Maps ↗

Other Names 1

Other Name (5)Leslie Marie Theisen

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Leslie Marie Kennedy Np-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3577804889
PECOS Enrollment IDI20260622002230
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Leslie Kennedy reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Blackstone Valley Community Health Care, Inc.
Same address
Federally Qualified Health Center (FQHC)
9 CHESTNUT ST
Central Falls, RI 02863
  • Reassigned Medicare billing, Rhode Island enrollment
  • 75 clinicians in this Medicare group
NPI 1275847766 (401) 722-0081
Clinica Campesina Family Health Services
1,753 mi
Family
8990 N WASHINGTON ST
Thornton, CO 80229
  • Reassigned Medicare billing, Colorado enrollment
  • 183 clinicians in this Medicare group
NPI 1013942234 (720) 929-1421

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 02863 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
$90.48 typical visit price
range $58.57 – $177.03
Typical copayment $22.62 (range $14.64 – $44.25)
Most-billed visit code 99203
Established Patient
$103.10 typical visit price
range $18.92 – $144.38
Typical copayment $25.77 (range $4.73 – $36.09)
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.

JORDAN MARIA O'NEILL DMD
Dentist (General Practice)
1000 BROAD ST
CENTRAL FALLS, RI 02863
Providence County (401) 729-5239
MARISSA MCBURNIE PA-S
Family Medicine
1000 BROAD ST
CENTRAL FALLS, RI 02863
Providence County (401) 722-0081
KATHERINE RODRIGUEZ
Community Health Worker
1000 BROAD ST
CENTRAL FALLS, RI 02863
Providence County (401) 722-0081
DR. DILLON RAYMOND MOORE DDS
Dentist (General Practice)
1000 BROAD ST
CENTRAL FALLS, RI 02863
Providence County (401) 722-0081
ELIZABETH SWEETLAND
Occupational Therapist
1000 BROAD ST
CENTRAL FALLS, RI 02863
Providence County (401) 726-1800
EMMA PAOLELLA
Dentist (General Practice)
1000 BROAD ST
CENTRAL FALLS, RI 02863
Providence County (401) 722-0081
DR. NELLY E BURDETTE PSY.D.
Psychologist (Clinical)
1000 BROAD ST
CENTRAL FALLS, RI 02863
Providence County (401) 722-0081
KATHARINE COSTA RN, NP
Nurse Practitioner (Pediatrics)
1000 BROAD ST
CENTRAL FALLS, RI 02863
Providence County (401) 722-0081

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 Leslie Kennedy's NPI number?

The NPI number for Leslie Kennedy is 1114400256. It was assigned to this individual provider in the NPPES registry on September 14, 2018. The provider is also known as Leslie Marie Theisen.

Where is Leslie Kennedy located?

Leslie Kennedy practices at 1000 Broad St, Central Falls, RI 02863. The listed phone number is (401) 722-0081.

What is Leslie Kennedy's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Leslie Kennedy enrolled in Medicare?

Yes. Leslie Kennedy is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Leslie Kennedy's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Leslie Kennedy reassigns Medicare benefits to 2 organizations: Blackstone Valley Community Health Care, Inc. (Central Falls, RI) and Clinica Campesina Family Health Services (Thornton, CO). 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 Leslie 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 Leslie Kennedy was last updated on April 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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.