NICOLE KENNEDY RN - NPI 1184496457 - Nurse Practitioner in Brookline, MA

Q: What is Nicole Kennedy's NPI number?

The NPI number for Nicole Kennedy is 1184496457. It was assigned to this individual provider in the NPPES registry on October 30, 2023.

Q: What is Nicole Kennedy's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Q: When was this NPI record last updated?

The NPPES record for Nicole Kennedy was last updated on November 4, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Nicole Kennedy Rn NPPES

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

NICOLE KENNEDY RN (NPI 1184496457) is an individual psychiatric/mental health provider in Brookline, Massachusetts, licensed in Massachusetts (RN2324861) and active in the NPI registry since October 2023. She is enrolled in Medicare PECOS, maintains a secondary practice location in North Andover, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1184496457

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameNICOLE KENNEDYCredential: RN

Location Address1101 BEACON ST STE 8WBrookline, MA 02446-5587

Mailing Address1101 Beacon St Ste 8wBrookline, MA 02446-5587 · (617) 855-7288

Phone(617) 855-7288

Sole ProprietorNo

Medical School CMSOtherGraduated 2024

Enumeration DateOctober 30, 2023

Last NPPES UpdateNovember 4, 20242 updates tracked since enumeration

NPPES CertifiedNovember 4, 2024

✔ NPI 1184496457 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in MA · RN2324861

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

1101 BEACON ST STE 8W, Brookline, MA 02446

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Secondary Practice Location 1

Location 1800 Turnpike St Ste 201North Andover, MA 01845-6156 · Phone (781) 551-0999

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.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

Nicole Kennedy Rn 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 ID3274068010

PECOS Enrollment IDI20241203001240

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 02446 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

$97.64 typical visit price

range $63.72 – $189.86

Typical copayment $24.41 (range $15.93 – $47.46)

Most-billed visit code 99203

Established Patient

$111.18 typical visit price

range $21.07 – $155.29

Typical copayment $27.79 (range $5.26 – $38.82)

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 6

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

DANIELLE TORRE WIGGINS

Physician Assistant