MRS. NEVADA NOELLE KENNEDY-HANSEN FNP-C
NPI 1265398986
Nurse Practitioner - Family in Saint Louis, MI

Active since December 26, 2025PECOS Enrolled
519 OLIVE ST, SAINT LOUIS, MI 48880(989) 859-8822 Get Directions Write a Review

NPPES record last updated: December 26, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mrs. Nevada Noelle Kennedy-hansen Fnp-c NPPES

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

MRS. NEVADA NOELLE KENNEDY-HANSEN FNP-C (NPI 1265398986) is an individual family provider in Saint Louis, Michigan, licensed in Michigan (4704406971) and active in the NPI registry since December 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1265398986
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. NEVADA NOELLE KENNEDY-HANSENCredential: FNP-C
Location Address519 OLIVE STSaint Louis, MI 48880-1662
Mailing Address519 Olive StSaint Louis, MI 48880-1662 · (989) 859-8822
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateDecember 26, 2025
NPPES CertifiedDecember 16, 2025
NPI 1265398986 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 · 4704406971
519 OLIVE ST, Saint Louis, MI 48880

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Mrs. Nevada Noelle Kennedy-hansen Fnp-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3072081850
PECOS Enrollment IDI20260511001089
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 48880 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
$84.74 typical visit price
range $54.34 – $166.68
Typical copayment $21.18 (range $13.58 – $41.67)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.09 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

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 Nevada Kennedy-hansen's NPI number?

The NPI number for Nevada Kennedy-hansen is 1265398986. It was assigned to this individual provider in the NPPES registry on December 26, 2025.

Where is Nevada Kennedy-hansen located?

Nevada Kennedy-hansen practices at 519 Olive St, Saint Louis, MI 48880. The listed phone number is (989) 859-8822.

What is Nevada Kennedy-hansen's specialty?

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

Is Nevada Kennedy-hansen enrolled in Medicare?

Yes. Nevada Kennedy-hansen is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Nevada Kennedy-hansen was last updated on December 26, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.