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KENNEDY BAILEY DNP, APRN, FNP-BC
NPI 1235016346
Nurse Practitioner - Family in Detroit, MI

Active since August 19, 2025PECOS EnrolledAccepts Medicare Assignment
5716 MICHIGAN AVE, DETROIT, MI 48210(313) 554-1095(313) 899-3560 Get Directions Write a Review

NPPES record last updated: August 19, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kennedy Bailey Dnp, Aprn, Fnp-bc NPPES

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

KENNEDY BAILEY DNP, APRN, FNP-BC (NPI 1235016346) is an individual family provider in Detroit, Michigan, licensed in Michigan (4704374241) and active in the NPI registry since August 2025. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Michigan State University College Of Human Medicine (2025).

NPPES Registry Identity

NPI1235016346
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKENNEDY BAILEYCredential: DNP, APRN, FNP-BC
Location Address5716 MICHIGAN AVEDetroit, MI 48210-3039
Mailing Address559 W Grand BlvdDetroit, MI 48216-2200 · (313) 554-0485 · Fax (313) 228-0283
Phone(313) 554-1095
Fax(313) 899-3560
Sole ProprietorNo
Medical School CMSMichigan State University College Of Human MedicineGraduated 2025
Enumeration DateAugust 19, 2025
NPPES CertifiedAugust 19, 2025
✔ NPI 1235016346 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in MI · 4704374241
5716 MICHIGAN AVE, Detroit, MI 48210
Open in Google Maps ↗

Secondary Practice Locations 2

Location 120901 Moross RdDetroit, MI 48236-2058 · Phone (313) 626-2600 · Fax (313) 626-2605
Location 217625 Joy RdDetroit, MI 48228-1999 · Phone (313) 446-8800 · Fax (313) 446-8810

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 Bailey Dnp, Aprn, Fnp-bc 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 ID1355832882
PECOS Enrollment IDI20251112004179
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 48210 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
$90.76 typical visit price
range $58.04 – $177.36
Typical copayment $22.69 (range $14.51 – $44.34)
Most-billed visit code 99203
Established Patient
$102.35 typical visit price
range $18.32 – $143.49
Typical copayment $25.58 (range $4.58 – $35.87)
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.

MS. REBECCA LOUISE DEAN LLMSW
Social Worker
5716 MICHIGAN AVE
DETROIT, MI 48210
Wayne County (313) 963-2266
MARIA GUZMAN
Dental Hygienist
5716 MICHIGAN AVE
DETROIT, MI 48210
Wayne County (313) 554-3880
MISS STEPHANY LUNA
Student in an Organized Health Care Education/Training Program
5716 MICHIGAN AVE
DETROIT, MI 48210
Wayne County (313) 963-2266
ALEXANDER SCOTT TODD
Dentist
5716 MICHIGAN AVE
DETROIT, MI 48210
Wayne County (313) 554-3880
DR. ELIJAH NORONHA DDS
Dentist (General Practice)
5716 MICHIGAN AVE
DETROIT, MI 48210
Wayne County (313) 554-3880
KATHERINE LIN LMSW
Social Worker (Clinical)
5716 MICHIGAN AVE
DETROIT, MI 48210
Wayne County (313) 963-2266
RONALD F. KONOPKA D.D.S.
Dentist (General Practice)
5716 MICHIGAN AVE
DETROIT, MI 48210
Wayne County (313) 554-3880
JULENE SIMS
Community Health Worker
5716 MICHIGAN AVE
DETROIT, MI 48210
Wayne County (313) 771-0737

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 Bailey's NPI number?

The NPI number for Kennedy Bailey is 1235016346. It was assigned to this individual provider in the NPPES registry on August 19, 2025.

Where is Kennedy Bailey located?

Kennedy Bailey practices at 5716 Michigan Ave, Detroit, MI 48210. The listed phone number is (313) 554-1095.

What is Kennedy Bailey's specialty?

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

Is Kennedy Bailey enrolled in Medicare?

Yes. Kennedy Bailey 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.

When was this NPI record last updated?

The NPPES record for Kennedy Bailey was last updated on August 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.