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: July 19, 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 Enrollment Status

Kennedy Eidenire is registered with Medicare but may not accept claims assignment. If you are a Medicare beneficiary call and confirm with the provider before seeking any services.

Kennedy Eidenire is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 6204344237

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20250801001207

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Maybe

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Physician Visit Costs

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 37087 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99203

  • Average New Patient Price $81.53
  • Minimum New Patient Price $52.64
  • Maximum New Patient Price $160.89
  • Average New Patient Copayment $20.38
  • Minimum New Patient Copayment $13.16
  • Maximum New Patient Copayment $40.22

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99214

  • Average Established Patient Price $93.6
  • Minimum Established Patient Price $16.72
  • Maximum Established Patient Price $131.41
  • Average Established Patient Copayment $23.4
  • Minimum Established Patient Copayment $4.18
  • Maximum Established Patient Copayment $32.85

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Other Providers at the Same Location


The following 2 providers are registered at the same or a nearby location.

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

The NPI number assigned to this healthcare provider is 1477354793, enumerated as an "individual" on March 22, 2025.

The provider is located at 365 S HARTMANN DR STE 104 LEBANON, TN 37087 and the phone number is (615) 470-8124.

Nurse Practitioner with taxonomy code 363LP0808X and a focus in Psychiatric/Mental Health.

The provider might be accepting Accepts: BlueCross BlueShield of Tennessee, Oscar Insurance. Please consult your insurance carrier or call the provider to verify.