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KENNEDY FAMILY MEDICINE LLC
NPI 1487415170
Family Medicine in Auburn, IN

Active since January 19, 2024CLIA 15D2300273 · Waiver
1153 W 15TH ST, AUBURN, IN 46706(260) 222-1181(260) 270-2800 Get Directions Write a Review

NPPES record last updated: January 23, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Kennedy Family Medicine Llc NPPES

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

KENNEDY FAMILY MEDICINE LLC (NPI 1487415170) is a healthcare organization registered as a family medicine in Auburn, Indiana and active in the NPI registry since January 2024. The organization holds a CLIA Waiver certificate valid through March 5, 2028 and lists Crystal N Kennedy, Owner Operator, as its authorized official.

NPPES Registry Identity

NPI1487415170
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameKENNEDY FAMILY MEDICINE LLC
Location Address1153 W 15TH STAuburn, IN 46706-2061
Mailing Address1153 W 15th StAuburn, IN 46706-2061 · (260) 222-1181 · Fax (260) 270-2800
Phone(260) 222-1181
Fax(260) 270-2800
Organization SubpartNo
Authorized OfficialCrystal N KennedyOwner Operator · (260) 222-1181
Enumeration DateJanuary 19, 2024
Last NPPES UpdateJanuary 23, 2024
NPPES CertifiedJanuary 22, 2024
✔ NPI 1487415170 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
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.
1153 W 15TH ST, Auburn, IN 46706
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kennedy Family Medicine Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Kennedy Family Medicine LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Crystal Kennedy, NP
Nurse Practitioner
NPI 1902267057
1153 W 15TH ST
Auburn, IN 46706
(260) 222-1181
✔ PECOS✔ Accepts MedicareSame address

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 15D2300273

Kennedy Family Medicine LLC · Auburn, IN
Active · expires Mar 5, 2028
CLIA Number15D2300273
Laboratory TypePractitioner Other
Certificate Effective DateMarch 6, 2026
Certificate Expiration DateMarch 5, 2028
Laboratory DirectorCrystal Kennedy
Laboratory Phone(260) 221-1181
Laboratory LocationKennedy Family Medicine LLC1153 W 15th St, Auburn, IN 46706
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

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 Family Medicine LLC's NPI number?

The NPI number for Kennedy Family Medicine LLC is 1487415170. It was assigned to this organization in the NPPES registry on January 19, 2024.

Where is Kennedy Family Medicine LLC located?

Kennedy Family Medicine LLC is located at 1153 W 15th St, Auburn, IN 46706. The listed phone number is (260) 222-1181.

What is Kennedy Family Medicine LLC's specialty?

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

Is Kennedy Family Medicine LLC enrolled in Medicare?

Yes. Kennedy Family Medicine LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Kennedy Family Medicine LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Kennedy Family Medicine LLC. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Kennedy Family Medicine LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 15D2300273) is associated with this NPI, valid through March 5, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Kennedy Family Medicine LLC was last updated on January 23, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.