KELLY E. HENNESSY NP
NPI 1629446307
Nurse Practitioner - Family in East Boston, MA
About Kelly E. Hennessy Np NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KELLY E. HENNESSY NP (NPI 1629446307) is an individual family provider in East Boston, Massachusetts, licensed in Massachusetts (RN2280075) and active in the NPI registry since September 2015. She is enrolled in Medicare PECOS, is affiliated with Boston Medical Center, and is a graduate of Other (2015).
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
Kelly E. Hennessy Np 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
2Medicare enrollment records show Kelly Hennessy reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
East Boston, MA 02128
- Reassigned Medicare billing, Massachusetts enrollment
- Medicare enrollment name: East Boston Neighborhood Health Center Corp
- 456 clinicians in this Medicare group
East Boston, MA 02128
- Reassigned Medicare billing, Massachusetts enrollment
- 577 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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Boston Medical Center
Acute Care Hospitals · Boston, MAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 02128 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Referred Medical Equipment & Supplies CMS DME claims 2
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
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 Kelly Hennessy's NPI number?
The NPI number for Kelly Hennessy is 1629446307. It was assigned to this individual provider in the NPPES registry on September 11, 2015.
Where is Kelly Hennessy located?
Kelly Hennessy practices at 10 Gove St, East Boston, MA 02128. The listed phone number is (617) 569-5800.
What is Kelly Hennessy's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Kelly Hennessy enrolled in Medicare?
Yes. Kelly Hennessy 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 Kelly Hennessy's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kelly Hennessy reassigns Medicare benefits to 2 organizations: Neighborhealth Corporation (East Boston, MA) and Internal Medical Associates-Ebnhc (East Boston, MA). 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 Kelly Hennessy's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kelly Hennessy accept?
Health plans from Anthem Blue Cross and Blue Shield list Kelly Hennessy 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.
Is Kelly Hennessy affiliated with any hospitals?
According to CMS data, Kelly Hennessy is affiliated with Boston Medical Center.
When was this NPI record last updated?
The NPPES record for Kelly Hennessy was last updated on September 11, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.
# Kelly E. Hennessy, NP · NPI 1629446307
Family physician in East Boston, Massachusetts. Individual provider, active in the CMS NPPES registry since September 11, 2015.
## Identity
- **NPI:** 1629446307 (Entity type: Individual)
- **Enumerated:** September 11, 2015
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** RN2280075 (Massachusetts)
- **Sole proprietor:** No
## Practice location
- **Address:** 10 GOVE ST, East Boston, MA 02128-1920
- **Phone:** (617) 569-5800 · **Fax:** (617) 568-4780
## 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:** 2 organizations under Medicare reassignment (form CMS-855R): Neighborhealth Corporation (NPI 1316994411, East Boston, MA); Internal Medical Associates-Ebnhc (NPI 1558481879, East Boston, MA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2015
## Record status
- **NPPES last updated:** September 11, 2015
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Source: [NPI Profile](https://npiprofile.com/npi/1629446307) · Data from the CMS NPPES public registry.