JADEBREY VYSHETTE KENNON PMHNP-BC
NPI 1518574441
Nurse Practitioner - Psychiatric/Mental Health in Shreveport, LA

Active since September 24, 2020PECOS EnrolledAccepts Medicare Assignment
1541 KINGS HWY, SHREVEPORT, LA 71103(318) 626-0000 Get Directions Write a Review

NPPES record last updated: September 24, 2020. Verified against the NPPES registry weekly; last sync: September 06, 2026.

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

NPI1518574441
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameJADEBREY VYSHETTE KENNONCredential: PMHNP-BC
Location Address1541 KINGS HWYShreveport, LA 71103-4228
Mailing Address2506 Sundsvall CtShreveport, LA 71118-4520
Sole ProprietorNo
Medical School CMSUniversity Of South Alabama College Of MedicineGraduated 2019
Enumeration DateSeptember 24, 2020
NPPES CertifiedSeptember 24, 2020
NPI 1518574441 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 LA · 212198
1541 KINGS HWY, Shreveport, LA 71103

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 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.

PECOS PAC ID1951721307
PECOS Enrollment IDI20201023001167
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 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.

New Patient
$83.60 typical visit price
range $53.43 – $164.73
Typical copayment $20.90 (range $13.35 – $41.18)
Most-billed visit code 99203
Established Patient
$95.09 typical visit price
range $16.64 – $133.62
Typical copayment $23.77 (range $4.16 – $33.40)
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 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine (Cardiovascular Disease)
1541 KINGS HWY
SHREVEPORT, LA 71103
Pediatrics
1541 KINGS HWY
SHREVEPORT, LA 71103
Pediatrics (Pediatric Pulmonology)
1541 KINGS HWY
SHREVEPORT, LA 71103
Anesthesiology
1541 KINGS HWY
SHREVEPORT, LA 71103
Obstetrics & Gynecology
1541 KINGS HWY
SHREVEPORT, LA 71103
Physician Assistant
1541 KINGS HWY
SHREVEPORT, LA 71103
Internal Medicine (Interventional Cardiology)
1541 KINGS HWY
SHREVEPORT, LA 71103
Radiology (Radiation Oncology)
1541 KINGS HWY
SHREVEPORT, LA 71103

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.

What insurance does Jadebrey Kennon accept?

Health plans from Blue Cross and Blue Shield of Louisiana, CHRISTUS Health Plan, HMO Louisiana, Providence Health Plan and UnitedHealthcare 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 5 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.