LUISA JEANNE KENNY CRNP, AGPCNP-BC, CNS
NPI 1215305453
Nurse Practitioner - Adult Health in Gettysburg, PA
About Luisa Jeanne Kenny Crnp, Agpcnp-bc, Cns NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LUISA JEANNE KENNY CRNP, AGPCNP-BC, CNS (NPI 1215305453) is an individual adult health provider in Gettysburg, Pennsylvania, licensed in Pennsylvania (SP017552) and active in the NPI registry since September 2015. She is enrolled in Medicare PECOS and maintains a secondary practice location in Imperial.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Luisa Jeanne Kenny Crnp, Agpcnp-bc, Cns is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Luisa Kenny reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Imperial, CA 92251
- Reassigned Medicare billing, California enrollment
- Medicare enrollment name: Imperial Valley Family Care Medical Group A P C
- 81 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 17325 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
GETTYSBURG, PA 17325
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 Luisa Kenny's NPI number?
The NPI number for Luisa Kenny is 1215305453. It was assigned to this individual provider in the NPPES registry on September 3, 2015. The provider is also known as Luisa Jeanne Grijalva Crnp, Agpcnp-Bc, Cns.
Where is Luisa Kenny located?
Luisa Kenny practices at 40 V Twin Dr, Gettysburg, PA 17325. The listed phone number is (717) 339-2790.
What is Luisa Kenny's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.
Is Luisa Kenny enrolled in Medicare?
Yes. Luisa Kenny is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Luisa Kenny's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Luisa Kenny reassigns Medicare benefits to Imperial Valley Family Care Medical Group Apc (Imperial, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Luisa Kenny's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Luisa Kenny was last updated on March 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.
# Luisa Jeanne Kenny, CRNP, AGPCNP-BC, CNS · NPI 1215305453
Adult Health physician in Gettysburg, Pennsylvania. Individual provider, active in the CMS NPPES registry since September 3, 2015.
## Identity
- **NPI:** 1215305453 (Entity type: Individual)
- **Enumerated:** September 3, 2015
- **Primary specialty:** Nurse Practitioner - Adult Health · taxonomy 363LA2200X
- **State license:** SP017552 (Pennsylvania)
- **Sole proprietor:** No
## Practice location
- **Address:** 40 V TWIN DR, Gettysburg, PA 17325-7875
- **Phone:** (717) 339-2790
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Imperial Valley Family Care Medical Group Apc (NPI 1275581894, Imperial, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 17, 2018
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Source: [NPI Profile](https://npiprofile.com/npi/1215305453) · Data from the CMS NPPES public registry.