KENNEDY SHULL
NPI 1154184497
Physician Assistant - Medical in Knoxville, TN

Active since January 31, 2024PECOS EnrolledAccepts Medicare Assignment
7200 STRAWBERRY PLAINS PIKE, KNOXVILLE, TN 37914(865) 240-3038 Get Directions Write a Review

NPPES record last updated: December 26, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 26, 2024, Nov 18, 2024 (2 updates tracked since 2024).

About Kennedy Shull NPPES

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

KENNEDY SHULL (NPI 1154184497) is an individual medical provider in Knoxville, Tennessee, licensed in Tennessee (6197) and active in the NPI registry since January 2024. She is enrolled in Medicare PECOS, maintains a secondary practice location in Knoxville, and is a graduate of Medical University Of South Carolina College Of Medicine (2024).

NPPES Registry Identity

NPI1154184497
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameKENNEDY SHULL
Location Address7200 STRAWBERRY PLAINS PIKEKnoxville, TN 37914-9589
Mailing Address506 E Oak Hill AveKnoxville, TN 37917-5434
Sole ProprietorNo
Medical School CMSMedical University Of South Carolina College Of MedicineGraduated 2024
Enumeration DateJanuary 31, 2024
Last NPPES UpdateDecember 26, 20242 updates tracked since enumeration
NPPES CertifiedDecember 26, 2024
NPI 1154184497 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in TN · 6197
Also ListedPhysician AssistantTaxonomy 363A00000X · License 6197 (TN)
7200 STRAWBERRY PLAINS PIKE, Knoxville, TN 37914

Secondary Practice Location 1

Location 1506 E Oak Hill AveKnoxville, TN 37917-5434 · Phone (843) 687-9687

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

Kennedy Shull 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 ID6507386349
PECOS Enrollment IDI20250224000720
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.

Other Providers at the Same Location NPPES 6

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

Nurse Practitioner (Family)
7200 STRAWBERRY PLAINS PIKE
KNOXVILLE, TN 37914
Family Medicine
7200 STRAWBERRY PLAINS PIKE
KNOXVILLE, TN 37914
Clinic/Center (Rural Health)
7200 STRAWBERRY PLAINS PIKE
KNOXVILLE, TN 37914
Clinic/Center (Urgent Care)
7200 STRAWBERRY PLAINS PIKE
KNOXVILLE, TN 37914
Nurse Practitioner
7200 STRAWBERRY PLAINS PIKE
KNOXVILLE, TN 37914
Nurse Practitioner (Family)
7200 STRAWBERRY PLAINS PIKE
KNOXVILLE, TN 37914

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 Kennedy Shull's NPI number?

The NPI number for Kennedy Shull is 1154184497. It was assigned to this individual provider in the NPPES registry on January 31, 2024.

Where is Kennedy Shull located?

Kennedy Shull practices at 7200 Strawberry Plains Pike, Knoxville, TN 37914. The listed phone number is (865) 240-3038.

What is Kennedy Shull's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Kennedy Shull enrolled in Medicare?

Yes. Kennedy Shull 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 Kennedy Shull accept?

Health plans from BlueCross BlueShield of Tennessee list Kennedy Shull 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 Kennedy Shull was last updated on December 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.