MS. JEANETTE NICOLE KENNEDY DNP, APRN-NP,FNP-C
NPI 1609042928
Nurse Practitioner - Family in Ft Worth, TX

Active since May 06, 2008PECOS EnrolledAccepts Medicare Assignment
9717 HICKORY KNOB DR, FT WORTH, TX 76108(402) 515-9735 Get Directions Write a Review

NPPES record last updated: August 16, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 16, 2024, Jul 14, 2023, Jun 22, 2023 and 2 more (5 updates tracked since 2020).

About Ms. Jeanette Nicole Kennedy Dnp, Aprn-np,fnp-c NPPES

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

MS. JEANETTE NICOLE KENNEDY DNP, APRN-NP,FNP-C (NPI 1609042928) is an individual family provider in Ft Worth, Texas, licensed in Texas (1108575) and active in the NPI registry since May 2008. She is enrolled in Medicare PECOS, maintains a secondary practice location in Houston, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1609042928
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMS. JEANETTE NICOLE KENNEDYCredential: DNP, APRN-NP,FNP-C
Location Address9717 HICKORY KNOB DRFt Worth, TX 76108-1461
Mailing Address9717 Hickory Knob DrFt Worth, TX 76108-1461 · (402) 515-9735
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateMay 6, 2008
Last NPPES UpdateAugust 16, 20245 updates tracked since enumeration
NPPES CertifiedAugust 16, 2024
✔ NPI 1609042928 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Licenses✔ Licensed in TX · 1108575✔ Licensed in IA · A159555✔ Licensed in NE · 113215✔ Licensed in OH · 0027699✔ Licensed in MO · 2024010751
9717 HICKORY KNOB DR, Ft Worth, TX 76108

Secondary Practice Location 1

Location 15444 Westheimer Rd Ste 1000Houston, TX 77056-5318 · Phone (830) 433-6318

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

Ms. Jeanette Nicole Kennedy Dnp, Aprn-np,fnp-c 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 ID648673426
PECOS Enrollment IDI20251030003400
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 Reassignments

5

Medicare enrollment records show Jeanette Kennedy reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Hospice and Palliative Medicine
2505 N STATE HIGHWAY 360 STE 200
Grand Prairie, TX 75050
  • Reassigned Medicare billing, Texas enrollment
  • 27 clinicians in this Medicare group
Hospice and Palliative Medicine
700 PARKER SQ STE 105
Flower Mound, TX 75028
  • Reassigned Medicare billing, Texas enrollment
  • 16 clinicians in this Medicare group
General Practice
4055 VALLEY VIEW LN STE 700
Dallas, TX 75244
  • Reassigned Medicare billing, Ohio enrollment
  • 672 clinicians in this Medicare group
Nurse Practitioner
424 CHURCH ST STE 220
Nashville, TN 37219
  • Reassigned Medicare billing, Ohio enrollment
  • 271 clinicians in this Medicare group
Hospice and Palliative Medicine
22 CENTURY BLVD STE 220
Nashville, TN 37214
  • Reassigned Medicare billing, District of Columbia, Indiana, Missouri, New Mexico, Nevada, Ohio and Virginia enrollments
  • 22 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 76108 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
$87.20 typical visit price
range $56.47 – $171.07
Typical copayment $21.80 (range $14.11 – $42.76)
Most-billed visit code 99203
Established Patient
$99.68 typical visit price
range $18.18 – $139.68
Typical copayment $24.92 (range $4.54 – $34.92)
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.

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 Jeanette Kennedy's NPI number?

The NPI number for Jeanette Kennedy is 1609042928. It was assigned to this individual provider in the NPPES registry on May 6, 2008.

Where is Jeanette Kennedy located?

Jeanette Kennedy practices at 9717 Hickory Knob Dr, Ft Worth, TX 76108. The listed phone number is (402) 515-9735.

What is Jeanette Kennedy's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Jeanette Kennedy enrolled in Medicare?

Yes. Jeanette Kennedy 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 Jeanette Kennedy's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jeanette Kennedy reassigns Medicare benefits to 5 organizations: Carelon Medical Partners Of Texas PA (Grand Prairie, TX), Arcy Healthcare, LLC (Flower Mound, TX), Signify Health, LLC (Dallas, TX), Community Care Health Network LLC (Nashville, TN) and Carelon Medical Partners, PC (Nashville, TN). 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 Jeanette Kennedy's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jeanette Kennedy accept?

Health plans from CareSource and CareSource (Common Ground Healthcare) list Jeanette Kennedy 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 Jeanette Kennedy was last updated on August 16, 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.