JADEBREY VYSHETTE KENNON PMHNP-BC
NPI 1518574441
Nurse Practitioner - Psychiatric/Mental Health in Shreveport, LA
About Jadebrey Vyshette Kennon Pmhnp-bc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JADEBREY VYSHETTE KENNON PMHNP-BC (NPI 1518574441) is an individual psychiatric/mental health provider in Shreveport, Louisiana, licensed in Louisiana (212198) and active in the NPI registry since September 2020. She is enrolled in Medicare PECOS and is a graduate of University Of South Alabama College Of Medicine (2019).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Jadebrey Vyshette Kennon Pmhnp-bc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
3Medicare enrollment records show Jadebrey Kennon reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Shreveport, LA 71103
- Reassigned Medicare billing, Louisiana enrollment
- 1,167 clinicians in this Medicare group
Shreveport, LA 71103
- Reassigned Medicare billing, Louisiana enrollment
- 174 clinicians in this Medicare group
Lynchburg, VA 24504
- Reassigned Medicare billing, Louisiana enrollment
- 38 clinicians in this Medicare group
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 71103 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 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Jadebrey Kennon's NPI number?
The NPI number for Jadebrey Kennon is 1518574441. It was assigned to this individual provider in the NPPES registry on September 24, 2020.
Where is Jadebrey Kennon located?
Jadebrey Kennon practices at 1541 Kings Hwy, Shreveport, LA 71103. The listed phone number is (318) 626-0000.
What is Jadebrey Kennon's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Jadebrey Kennon enrolled in Medicare?
Yes. Jadebrey Kennon is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Jadebrey Kennon's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jadebrey Kennon reassigns Medicare benefits to 3 organizations: Lsu Health Sciences Center Shreveport Faculty Group Practice (Shreveport, LA), University Health Shreveport LLC (Shreveport, LA) and Thrive Counseling LLC (Lynchburg, VA). Each 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 Jadebrey Kennon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Jadebrey Kennon accept?
Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 4 other insurers list Jadebrey Kennon 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 Jadebrey Kennon was last updated on September 24, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Jadebrey Vyshette Kennon, PMHNP-BC · NPI 1518574441
Psychiatric/Mental Health physician in Shreveport, Louisiana. Individual provider, active in the CMS NPPES registry since September 24, 2020.
## Identity
- **NPI:** 1518574441 (Entity type: Individual)
- **Enumerated:** September 24, 2020
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** 212198 (Louisiana)
- **Sole proprietor:** No
## Practice location
- **Address:** 1541 KINGS HWY, Shreveport, LA 71103-4228
- **Phone:** (318) 626-0000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Lsu Health Sciences Center Shreveport Faculty Group Practice (NPI 1013374222, Shreveport, LA); University Health Shreveport LLC (NPI 1619443611, Shreveport, LA); Thrive Counseling LLC (NPI 1215181300, Lynchburg, VA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of South Alabama College Of Medicine, class of 2019
## Record status
- **NPPES last updated:** September 24, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1518574441) · Data from the CMS NPPES public registry.