MRS. SANDRA KAY KENNEDY NP
NPI 1144548397
Nurse Practitioner - Pediatrics, Critical Care in Indianapolis, IN

Q: What is Sandra Kennedy's NPI number?

The NPI number for Sandra Kennedy is 1144548397. It was assigned to this individual provider in the NPPES registry on May 12, 2010.

Q: What is Sandra Kennedy's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, Critical Care, with taxonomy code 363LP0222X.

Q: When was this NPI record last updated?

The NPPES record for Sandra Kennedy was last updated on June 2, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since May 12, 2010PECOS Enrolled

705 RILEY HOSPITAL DR, INDIANAPOLIS, IN 46202(317) 948-7128(317) 944-3442 Get Directions Write a Review

NPPES record last updated: June 2, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Mrs. Sandra Kay Kennedy Np NPPES

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

MRS. SANDRA KAY KENNEDY NP (NPI 1144548397) is an individual pediatrics, critical care provider in Indianapolis, Indiana, licensed in Indiana (71003101A) and active in the NPI registry since May 2010. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1144548397

Entity TypeIndividualFemale

Primary Taxonomy363LP0222X

Provider Legal NameMRS. SANDRA KAY KENNEDYCredential: NP

Location Address705 RILEY HOSPITAL DRIndianapolis, IN 46202-5109

Mailing AddressPo Box 1026Indianapolis, IN 46206-1026 · (317) 948-7128 · Fax (317) 944-3442

Phone(317) 948-7128

Fax(317) 944-3442

Sole ProprietorNo

Enumeration DateMay 12, 2010

Last NPPES UpdateJune 2, 2021

NPPES CertifiedJune 2, 2021

✔ NPI 1144548397 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Pediatrics, Critical CarePhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0222X

License✔ Licensed in IN · 71003101A

705 RILEY HOSPITAL DR, Indianapolis, IN 46202

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Other Identifiers 1

Medicaid201079620IN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Sandra Kay Kennedy Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 46202 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

$82.04 typical visit price

range $53.07 – $161.76

Typical copayment $20.51 (range $13.26 – $40.44)

Most-billed visit code 99203

Established Patient

$94.22 typical visit price

range $16.93 – $132.22

Typical copayment $23.55 (range $4.23 – $33.05)

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.

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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.

MOHANNAD MOALLEM M.D.

Pediatrics (Neonatal-Perinatal Medicine)