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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: October 18, 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
Phone(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
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of Tennessee, Cigna Healthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignment

Medicare enrollment records show Kennedy Eidenire reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Firefly Health PLLC
27 mi
Family Medicine
421 N BROADWAY
Portland, TN 37148
  • Reassigned Medicare billing, Tennessee enrollment
  • 5 clinicians in this Medicare group
NPI 1528749827 (615) 205-2100

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

CARLIE MORRISON FNP-BC
Nurse Practitioner (Family)
365 S HARTMANN DR STE 104
LEBANON, TN 37087
Wilson County (615) 243-8984
RESTORATION WELLNESS AND MEDSPA
Nurse Practitioner (Psychiatric/Mental Health)
365 S HARTMANN DR STE 104
LEBANON, TN 37087
Wilson County (615) 243-8984

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.

Which organization bills Medicare for Kennedy Eidenire's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kennedy Eidenire reassigns Medicare benefits to Firefly Health PLLC (Portland, TN). The 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 Kennedy Eidenire's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kennedy Eidenire accept?

Health plans from BlueCross BlueShield of Tennessee and Cigna Healthcare 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 10 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.