KENEDI ELLEN ELIZABETH DIVINE MD
NPI 1275276560
Family Medicine in Jasper, IN

Q: What is Kenedi Divine's NPI number?

The NPI number for Kenedi Divine is 1275276560. It was assigned to this individual provider in the NPPES registry on April 15, 2022.

Q: What is Kenedi Divine's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Kenedi Divine was last updated on July 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.

Active since April 15, 2022PECOS EnrolledAccepts Medicare Assignment

751 W 9TH ST, JASPER, IN 47546(812) 996-7474 Get Directions Write a Review

NPPES record last updated: July 10, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 10, 2025, Jun 23, 2025, Apr 15, 2022 (3 updates tracked since 2022).

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About Kenedi Ellen Elizabeth Divine Md NPPES

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

KENEDI ELLEN ELIZABETH DIVINE MD (NPI 1275276560) is an individual family medicine provider in Jasper, Indiana, licensed in Indiana (01096665A) and active in the NPI registry since April 2022. She is enrolled in Medicare PECOS, is affiliated with Memorial Hospital And Health Care Center, and is a graduate of Indiana University School Of Medicine (2022).

NPPES Registry Identity

NPI1275276560

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameKENEDI ELLEN ELIZABETH DIVINECredential: MD

Location Address751 W 9TH STJasper, IN 47546-2609

Mailing Address751 W 9th StJasper, IN 47546-2609 · (812) 996-7474

Phone(812) 996-7474

Sole ProprietorNo

Medical School CMSIndiana University School Of MedicineGraduated 2022

Enumeration DateApril 15, 2022

Last NPPES UpdateJuly 10, 20253 updates tracked since enumeration

NPPES CertifiedJuly 10, 2025

✔ NPI 1275276560 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in IN · 01096665A

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

751 W 9TH ST, Jasper, IN 47546

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health 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

Kenedi Ellen Elizabeth Divine Md 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 ID9830578376

PECOS Enrollment IDI20250818001146

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.

Memorial Hospital And Health Care Center

Acute Care Hospitals · Jasper, IN

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number150115

Location800 W 9th StJasper, IN 47546 · Dubois County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 47546 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

$82.04 typical visit price

range $53.07 – $161.76

Typical copayment $20.51 (range $13.26 – $40.44)

Most-billed visit code 99203

Established Patient

$94.22 typical visit price

range $16.93 – $132.22

Typical copayment $23.55 (range $4.23 – $33.05)

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 4

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

FRANK S HOPKINS MD

Internal Medicine

751 W 9TH ST
JASPER, IN 47546

Dubois County (812) 996-0400

DR. CASSANDRA LOU ROBERTSON DO

Family Medicine

751 W 9TH ST
JASPER, IN 47546

Dubois County (812) 996-7474

DEACONESS CLINIC INC

Internal Medicine

751 W 9TH ST
JASPER, IN 47546

Dubois County (812) 996-7474

DEACONESS MEMORIAL MEDICAL CENTER INC

Internal Medicine

751 W 9TH ST
JASPER, IN 47546

Dubois County (812) 996-0400

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 Kenedi Divine's NPI number?

The NPI number for Kenedi Divine is 1275276560. It was assigned to this individual provider in the NPPES registry on April 15, 2022.

Where is Kenedi Divine located?

Kenedi Divine practices at 751 W 9th St, Jasper, IN 47546. The listed phone number is (812) 996-7474.

What is Kenedi Divine's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Kenedi Divine enrolled in Medicare?

Yes. Kenedi Divine 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 Kenedi Divine accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, CareSource and UnitedHealthcare list Kenedi Divine 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 Kenedi Divine affiliated with any hospitals?

According to CMS data, Kenedi Divine is affiliated with Memorial Hospital And Health Care Center.

When was this NPI record last updated?

The NPPES record for Kenedi Divine was last updated on July 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.