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JACY L KENNEDY ARNP
NPI 1134780968
Nurse Practitioner - Family in Ottumwa, IA

Active since June 24, 2019PECOS EnrolledAccepts Medicare Assignment
1207 N JEFFERSON ST STE 1, OTTUMWA, IA 52501(641) 682-5437(641) 682-1628 Get Directions Write a Review

NPPES record last updated: June 24, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jacy L Kennedy Arnp NPPES

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

JACY L KENNEDY ARNP (NPI 1134780968) is an individual family provider in Ottumwa, Iowa, licensed in Iowa (A155098) and active in the NPI registry since June 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1134780968
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameJACY L KENNEDYCredential: ARNP
Location Address1207 N JEFFERSON ST STE 1Ottumwa, IA 52501-2021
Mailing Address1207 N Jefferson St Ste 1Ottumwa, IA 52501-2021 · (641) 682-5437 · Fax (641) 682-1628
Phone(641) 682-5437
Fax(641) 682-1628
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateJune 24, 2019
✔ NPI 1134780968 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
License✔ Licensed in IA · A155098
1207 N JEFFERSON ST STE 1, Ottumwa, IA 52501
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan and more.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

Jacy L Kennedy Arnp 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 ID5092160606
PECOS Enrollment IDI20231017000393
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 52501 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
$81.84 typical visit price
range $52.96 – $161.40
Typical copayment $20.46 (range $13.24 – $40.35)
Most-billed visit code 99203
Established Patient
$94.05 typical visit price
range $16.91 – $131.98
Typical copayment $23.51 (range $4.22 – $32.99)
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.

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 Jacy Kennedy's NPI number?

The NPI number for Jacy Kennedy is 1134780968. It was assigned to this individual provider in the NPPES registry on June 24, 2019.

Where is Jacy Kennedy located?

Jacy Kennedy practices at 1207 N Jefferson St Ste 1, Ottumwa, IA 52501. The listed phone number is (641) 682-5437.

What is Jacy Kennedy's specialty?

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

Is Jacy Kennedy enrolled in Medicare?

Yes. Jacy 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 Jacy Kennedy accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from NH Healthy Families and Ambetter from Sunflower Health Plan and 2 other insurers list Jacy 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 Jacy Kennedy was last updated on June 24, 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.