TAMARA YVETTE KENNEDY FNP
NPI 1124311634
Nurse Practitioner - Family in Annapolis, MD
About Tamara Yvette Kennedy Fnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TAMARA YVETTE KENNEDY FNP (NPI 1124311634) is an individual family provider in Annapolis, Maryland, licensed in Maryland (R175373) and active in the NPI registry since May 2011. She is enrolled in Medicare PECOS and is a graduate of Other (2010).
NPPES Registry Identity
Specialties & Licenses
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
Tamara Yvette Kennedy Fnp 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
3Medicare enrollment records show Tamara Kennedy reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Annapolis, MD 21401
- Reassigned Medicare billing, Maryland and District of Columbia enrollments
- Also billed through NPI 1164740981 (District of Columbia)
- 794 clinicians in this Medicare group
Laurel, MD 20707
- Reassigned Medicare billing, District of Columbia enrollment
- 328 clinicians in this Medicare group
Riverdale, MD 20737
- Reassigned Medicare billing, District of Columbia enrollment
- 3 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 21401 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
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.
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 Tamara Kennedy's NPI number?
The NPI number for Tamara Kennedy is 1124311634. It was assigned to this individual provider in the NPPES registry on May 17, 2011.
Where is Tamara Kennedy located?
Tamara Kennedy practices at 2601 Riva Rd, Annapolis, MD 21401. The listed phone number is (240) 392-2294.
What is Tamara Kennedy's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Tamara Kennedy enrolled in Medicare?
Yes. Tamara 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 Tamara Kennedy's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Tamara Kennedy reassigns Medicare benefits to 3 organizations: Luminis Health Medical Group, LLC (Annapolis, MD), Dimensions Healthcare Associates Inc (Laurel, MD) and Sims Integrative Medical Solutions (Riverdale, MD). 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 Tamara 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 Tamara Kennedy was last updated on May 18, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.
# Tamara Yvette Kennedy, FNP · NPI 1124311634
Family physician in Annapolis, Maryland. Individual provider, active in the CMS NPPES registry since May 17, 2011.
## Identity
- **NPI:** 1124311634 (Entity type: Individual)
- **Enumerated:** May 17, 2011
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** R175373 (Maryland)
- **Sole proprietor:** No
## Practice location
- **Address:** 2601 RIVA RD, Annapolis, MD 21401-7304
- **Phone:** (240) 392-2294 · **Fax:** (240) 392-2294
## 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:** 3 organizations under Medicare reassignment (form CMS-855R): Luminis Health Medical Group, LLC (NPI 1205205531, Annapolis, MD); Dimensions Healthcare Associates Inc (NPI 1487714168, Laurel, MD); Sims Integrative Medical Solutions (NPI 1568268936, Riverdale, MD) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2010
## Record status
- **NPPES last updated:** May 18, 2011
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Source: [NPI Profile](https://npiprofile.com/npi/1124311634) · Data from the CMS NPPES public registry.