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MR. MICHAEL DEE KENNEDY ARNP
NPI 1235386004
Nurse Practitioner - Primary Care in Bonifay, FL

Active since August 25, 2008PECOS EnrolledAccepts Medicare Assignment
3120 SOUTHRIDE LANE, BONIFAY, FL 32425(850) 547-4440(850) 547-4441 Get Directions Write a Review

NPPES record last updated: August 14, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 14, 2024, Mar 15, 2023 (2 updates tracked since 2023).

About Mr. Michael Dee Kennedy Arnp NPPES

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

MR. MICHAEL DEE KENNEDY ARNP (NPI 1235386004) is an individual primary care provider in Bonifay, Florida, licensed in Florida (ARNP9206905) and active in the NPI registry since August 2008. He is enrolled in Medicare PECOS, is affiliated with Doctors Memorial Hospital, and maintains a secondary practice location in Bonifay.

NPPES Registry Identity

NPI1235386004
Entity TypeIndividualMale
Primary Taxonomy363LP2300X
Provider Legal NameMR. MICHAEL DEE KENNEDYCredential: ARNP
Location Address3120 SOUTHRIDE LANEBonifay, FL 32425
Mailing Address1360 Brickyard RdChipley, FL 32428-6303 · (850) 638-1610 · Fax (850) 415-8187
Phone(850) 547-4440
Fax(850) 547-4441
Sole ProprietorNo
Medical School CMSOtherGraduated 2008
Enumeration DateAugust 25, 2008
Last NPPES UpdateAugust 14, 20242 updates tracked since enumeration
NPPES CertifiedAugust 14, 2024
✔ NPI 1235386004 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
License✔ Licensed in FL · ARNP9206905
3120 SOUTHRIDE LANE, Bonifay, FL 32425
Open in Google Maps ↗

Secondary Practice Location 1

Location 12910 Hospital Dr Ste ABonifay, FL 32425-4268 · Phone (850) 547-8118 · Fax (850) 547-8090

Other Identifiers 3

OtherARNP9206905FL · Fl License
Medicaid000636200FL
OtherY129UBcbs

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter of Alabama, Florida Blue (BlueCross BlueShield FL) and more.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

Mr. Michael Dee Kennedy Arnp 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 ID6800066119
PECOS Enrollment IDI20151104001894
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.

Hospital Affiliations CMS Care Compare

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

Doctors Memorial Hospital

Critical Access Hospitals · Bonifay, FL
OwnershipGovernment - Hospital District or Authority
CMS Certification Number101307
Location2600 Hospital DrBonifay, FL 32425 · Holmes County

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32425 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

e-Prescribing
99%172 patients4/55-star benchmark: 100%
Provide Patients Electronic Access to Their Health Information
51%71 patients2/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 2

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

MRS. JESSICA REGISTER LUDWIG ARNP
Nurse Practitioner (Family)
3120 SOUTHRIDE LANE
BONIFAY, FL 32425
Holmes County (850) 547-4440
PATRICK L HAWKINS M.D.
Family Medicine
3120 SOUTHRIDE LANE
BONIFAY, FL 32425
Holmes County (850) 547-4440

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 Michael Kennedy's NPI number?

The NPI number for Michael Kennedy is 1235386004. It was assigned to this individual provider in the NPPES registry on August 25, 2008.

Where is Michael Kennedy located?

Michael Kennedy practices at 3120 Southride Lane, Bonifay, FL 32425. The listed phone number is (850) 547-4440.

What is Michael Kennedy's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Is Michael Kennedy enrolled in Medicare?

Yes. Michael Kennedy 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 Michael Kennedy accept?

Health plans from Ambetter Health, Ambetter of Alabama, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and UnitedHealthcare list Michael Kennedy 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.

Is Michael Kennedy affiliated with any hospitals?

According to CMS data, Michael Kennedy is affiliated with Doctors Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Michael Kennedy was last updated on August 14, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.