MRS. KENNEDY ELLEN EIDENIRE PMHNP
NPI 1477354793
Nurse Practitioner - Psychiatric/Mental Health in Lebanon, TN

Active since March 22, 2025PECOS Enrolled
365 S HARTMANN DR STE 104, LEBANON, TN 37087(615) 470-8124(615) 544-2528 Get Directions Write a Review

NPPES record last updated: November 21, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 21, 2025, Mar 22, 2025 (2 updates tracked since 2025).

About Mrs. Kennedy Ellen Eidenire Pmhnp NPPES

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

MRS. KENNEDY ELLEN EIDENIRE PMHNP (NPI 1477354793) is an individual psychiatric/mental health provider in Lebanon, Tennessee, licensed in Tennessee (38446) and active in the NPI registry since March 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1477354793
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameMRS. KENNEDY ELLEN EIDENIRECredential: PMHNP
Location Address365 S HARTMANN DR STE 104Lebanon, TN 37087-4788
Mailing Address365 S Hartmann Dr Ste 104Lebanon, TN 37087-4788 · (615) 470-8124
Fax(615) 544-2528
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateMarch 22, 2025
Last NPPES UpdateNovember 21, 20252 updates tracked since enumeration
NPPES CertifiedNovember 21, 2025
NPI 1477354793 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License Licensed in TN · 38446
365 S HARTMANN DR STE 104, Lebanon, TN 37087

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)

Mrs. Kennedy Ellen Eidenire Pmhnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6204344237
PECOS Enrollment IDI20250801001207
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 37087 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
$81.53 typical visit price
range $52.64 – $160.89
Typical copayment $20.38 (range $13.16 – $40.22)
Most-billed visit code 99203
Established Patient
$93.60 typical visit price
range $16.72 – $131.41
Typical copayment $23.40 (range $4.18 – $32.85)
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.

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.

Nurse Practitioner (Family)
365 S HARTMANN DR STE 104
LEBANON, TN 37087
Nurse Practitioner (Psychiatric/Mental Health)
365 S HARTMANN DR STE 104
LEBANON, TN 37087

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 Kennedy Eidenire's NPI number?

The NPI number for Kennedy Eidenire is 1477354793. It was assigned to this individual provider in the NPPES registry on March 22, 2025.

Where is Kennedy Eidenire located?

Kennedy Eidenire practices at 365 S Hartmann Dr Ste 104, Lebanon, TN 37087. The listed phone number is (615) 470-8124.

What is Kennedy Eidenire's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Kennedy Eidenire enrolled in Medicare?

Yes. Kennedy Eidenire is registered in the Medicare PECOS enrollment system.

What insurance does Kennedy Eidenire accept?

Health plans from BlueCross BlueShield of Tennessee, Oscar Insurance Company and UnitedHealthcare list Kennedy Eidenire 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 Kennedy Eidenire was last updated on November 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.