TARA ANN KENNEDY FNP- BC
NPI 1245424761
Nurse Practitioner in Charlotte, NC
About Tara Ann Kennedy Fnp- Bc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TARA ANN KENNEDY FNP- BC (NPI 1245424761) is an individual nurse practitioner in Charlotte, North Carolina, licensed in North Carolina (5014370) and active in the NPI registry since August 2007. She is enrolled in Medicare PECOS, is affiliated with Novant Health Presbyterian Medical Center, and is a graduate of Other (2007).
NPPES Registry Identity
Specialties & Licenses 2
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
Tara Ann Kennedy 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.
Medicare Billing Reassignments
2Medicare enrollment records show Tara Kennedy reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Charlotte, NC 28262
- Reassigned Medicare billing, North Carolina enrollment
- 2,998 clinicians in this Medicare group
Davidson, NC 28036
- Reassigned Medicare billing, North Carolina enrollment
- 5 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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Novant Health Presbyterian Medical Center
Acute Care Hospitals · Charlotte, NCPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 28262 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.
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 Tara Kennedy's NPI number?
The NPI number for Tara Kennedy is 1245424761. It was assigned to this individual provider in the NPPES registry on August 28, 2007.
Where is Tara Kennedy located?
Tara Kennedy practices at 10810 Mallard Creek Rd, Charlotte, NC 28262. The listed phone number is (704) 510-8000.
What is Tara Kennedy's specialty?
The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.
Is Tara Kennedy enrolled in Medicare?
Yes. Tara 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.
Which organizations bill Medicare for Tara Kennedy's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Tara Kennedy reassigns Medicare benefits to 2 organizations: Novant Health Medical Group, LLC (Charlotte, NC) and American Arthritis & Rheumatology Associates-Nc PLLC (Davidson, NC). Each 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 Tara Kennedy's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Tara Kennedy affiliated with any hospitals?
According to CMS data, Tara Kennedy is affiliated with Novant Health Presbyterian Medical Center.
When was this NPI record last updated?
The NPPES record for Tara Kennedy was last updated on April 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.
# Tara Ann Kennedy, FNP- BC · NPI 1245424761
Nurse Practitioner physician in Charlotte, North Carolina. Individual provider, active in the CMS NPPES registry since August 28, 2007.
## Identity
- **NPI:** 1245424761 (Entity type: Individual)
- **Enumerated:** August 28, 2007
- **Primary specialty:** Nurse Practitioner · taxonomy 363L00000X
- **State license:** 5014370 (North Carolina)
- **Sole proprietor:** No
## Practice location
- **Address:** 10810 MALLARD CREEK RD, Charlotte, NC 28262-9786
- **Phone:** (704) 510-8000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Novant Health Medical Group, LLC (NPI 1134841802, Charlotte, NC); American Arthritis & Rheumatology Associates-Nc PLLC (NPI 1528419744, Davidson, NC) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2007
## Record status
- **NPPES last updated:** April 7, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1245424761) · Data from the CMS NPPES public registry.