SHANNON KELLY KENNEDY FNP-C
NPI 1457080228
Nurse Practitioner - Family in Sulphur Springs, TX
About Shannon Kelly Kennedy Fnp-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SHANNON KELLY KENNEDY FNP-C (NPI 1457080228) is an individual family provider in Sulphur Springs, Texas, licensed in Texas (1088162) and active in the NPI registry since June 2022. She is enrolled in Medicare PECOS and maintains a secondary practice location in Royse City.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Shannon Kelly Kennedy Fnp-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 75482 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 12
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SULPHUR SPRINGS, TX 75482
SULPHUR SPRINGS, TX 75482
SULPHUR SPRINGS, TX 75482
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 Shannon Kennedy's NPI number?
The NPI number for Shannon Kennedy is 1457080228. It was assigned to this individual provider in the NPPES registry on June 7, 2022.
Where is Shannon Kennedy located?
Shannon Kennedy practices at 1317 N Hillcrest Dr, Sulphur Springs, TX 75482. The listed phone number is (903) 438-1110.
What is Shannon Kennedy's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Shannon Kennedy enrolled in Medicare?
Yes. Shannon Kennedy is registered in the Medicare PECOS enrollment system.
What insurance does Shannon Kennedy accept?
Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 2 other insurers list Shannon 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.
When was this NPI record last updated?
The NPPES record for Shannon Kennedy was last updated on February 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.
# Shannon Kelly Kennedy, FNP-C · NPI 1457080228
Family physician in Sulphur Springs, Texas. Individual provider, active in the CMS NPPES registry since June 7, 2022.
## Identity
- **NPI:** 1457080228 (Entity type: Individual)
- **Enumerated:** June 7, 2022
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 1088162 (Texas)
- **Sole proprietor:** No
## Practice location
- **Address:** 1317 N HILLCREST DR, Sulphur Springs, TX 75482-2091
- **Phone:** (903) 438-1110
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** February 11, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1457080228) · Data from the CMS NPPES public registry.