MRS. CAROL LYNN KENNEDY APRN
NPI 1194119016
Nurse Practitioner - Family in Durant, OK

Q: What is Carol Kennedy's NPI number?

The NPI number for Carol Kennedy is 1194119016. It was assigned to this individual provider in the NPPES registry on March 28, 2015.

Q: What is Carol Kennedy's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Carol Kennedy was last updated on August 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.

Active since March 28, 2015PECOS EnrolledAccepts Medicare Assignment

2701 W UNIVERSITY BLVD, DURANT, OK 74701(580) 740-4053(877) 725-8976 Get Directions Write a Review

NPPES record last updated: August 15, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 15, 2025, May 5, 2021, Nov 12, 2019 (3 updates tracked since 2019).

On this page

About Mrs. Carol Lynn Kennedy Aprn NPPES

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

MRS. CAROL LYNN KENNEDY APRN (NPI 1194119016) is an individual family provider in Durant, Oklahoma, licensed in Oklahoma (74318) and active in the NPI registry since March 2015. She is enrolled in Medicare PECOS, is affiliated with Fairview Regional Medical Center Authority, and maintains a secondary practice location in Poteau.

NPPES Registry Identity

NPI1194119016

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMRS. CAROL LYNN KENNEDYCredential: APRN

Location Address2701 W UNIVERSITY BLVDDurant, OK 74701-2997

Mailing Address2701 W University BlvdDurant, OK 74701-2997 · (580) 740-4053 · Fax (877) 725-8976

Phone(580) 740-4053

Fax(877) 725-8976

Sole ProprietorYes

Medical School CMSOtherGraduated 2015

Enumeration DateMarch 28, 2015

Last NPPES UpdateAugust 15, 20253 updates tracked since enumeration

NPPES CertifiedAugust 15, 2025

✔ NPI 1194119016 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in OK · 74318

Also ListedRegistered NurseTaxonomy 163W00000X · License R0074318 (OK)

Also ListedNurse Practitioner · Psychiatric/Mental HealthTaxonomy 363LP0808X · License 74318 (OK)

2701 W UNIVERSITY BLVD, Durant, OK 74701

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Secondary Practice Location 1

Location 11212 Reynolds AvePoteau, OK 74953-4724 · Phone (918) 649-0172

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan, Ambetter from Superior HealthPlan and more.Insurance ›

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

Mrs. Carol Lynn Kennedy Aprn 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 ID2860792157

PECOS Enrollment IDI20151118000157, I20230928000462

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.

Medicare Billing Reassignments

Medicare enrollment records show Carol Kennedy reassigns Medicare billing to 7 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Homecare Advisors LLC

Same address

Mental Health (Including Community Mental Health Center)

2701 W UNIVERSITY BLVD
Durant, OK 74701

Reassigned Medicare billing, Oklahoma enrollment
47 clinicians in this Medicare group

NPI 1689152894 (918) 360-7014

Meridian Long Term Care Services LLC

94 mi

Clinic/Center

17393 S ROCK CREEK RD
Shawnee, OK 74801

Reassigned Medicare billing, Oklahoma enrollment
8 clinicians in this Medicare group

NPI 1164176442 (469) 387-0861

Team Clinics Ah LLC

120 mi

Clinic/Center

3112 COOKE WAY
Oklahoma City, OK 73179

Reassigned Medicare billing, Oklahoma enrollment
4 clinicians in this Medicare group

NPI 1366022998 (405) 546-4130

Paramount Wound Care LLC

132 mi

Wound Care

99855 HIGHWAY 82
Vian, OK 74962

Reassigned Medicare billing, Arkansas and Oklahoma enrollments

NPI 1104650688 (479) 353-2368

Pavilion Behavioral Health LLC

132 mi

Geriatric Psychiatry

99855 HIGHWAY 82
Vian, OK 74962

Reassigned Medicare billing, Arkansas and Oklahoma enrollments
4 clinicians in this Medicare group

NPI 1992539472 (479) 353-2368

Healing Wound Care LLC

161 mi

Wound Care

825 HIGHWAY 71 N STE B
Alma, AR 72921

Reassigned Medicare billing, Arkansas enrollment
4 clinicians in this Medicare group

NPI 1164290904 (479) 222-5087

My Psych Health LLC

161 mi

Counseling

825 HIGHWAY 71 N
Alma, AR 72921

Reassigned Medicare billing, Arkansas enrollment
14 clinicians in this Medicare group

NPI 1215643028 (479) 632-6688

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 6

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.

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308

A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.

1,617 services232 patients

Psychotherapy with evaluation and management visit, 30 minutes 90833

Psychotherapy with evaluation and management is a 30-minute session where a mental health professional talks with you about your concerns and feelings. They assess your mental health, provide support, and manage your treatment plan to help improve your well-being.

364 services99 patients

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309

A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.

109 services60 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

102 services17 patients

Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more 99306

An initial nursing facility visit is your first meeting with your healthcare team at a nursing facility. Lasting typically 45 minutes, this appointment involves a comprehensive health assessment and the creation of your personalized care plan. It's a crucial step to ensure your health and well-being.

79 services78 patients

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes 99307

A follow-up nursing facility visit per day typically lasts about 10 minutes. This service involves a healthcare professional checking on your health status, answering any questions you may have, and monitoring your progress. This routine check ensures your recovery is on track and any concerns are addressed promptly.

35 services11 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Fairview Regional Medical Center Authority

Critical Access Hospitals · Fairview, OK

OwnershipGovernment - Hospital District or Authority

CMS Certification Number371329

Location523 East State RoadFairview, OK 73737 · Major County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 74701 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

$82.46 typical visit price

range $53.00 – $162.61

Typical copayment $20.61 (range $13.25 – $40.65)

Most-billed visit code 99203

Established Patient

$94.27 typical visit price

range $16.68 – $132.40

Typical copayment $23.56 (range $4.17 – $33.10)

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 20

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

JIMMIE D TRUITT

Case Manager/Care Coordinator