MRS. NICOLE SHUFF KENNEDY CNP
NPI 1649232372
Nurse Practitioner - Family in Estero, FL

Q: What is Nicole Kennedy's NPI number?

The NPI number for Nicole Kennedy is 1649232372. It was assigned to this individual provider in the NPPES registry on April 6, 2006.

Q: What is Nicole Kennedy's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Nicole Kennedy was last updated on December 15, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since April 06, 2006PECOS EnrolledAccepts Medicare Assignment

23450 VIA COCONUT PT, ESTERO, FL 34135(239) 468-0150(239) 343-4056 Get Directions Write a Review

NPPES record last updated: December 15, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 15, 2021, Nov 18, 2021 (2 updates tracked since 2021).

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About Mrs. Nicole Shuff Kennedy Cnp NPPES

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

MRS. NICOLE SHUFF KENNEDY CNP (NPI 1649232372) is an individual family provider in Estero, Florida, licensed in Florida (APRN9487918) and active in the NPI registry since April 2006. She is enrolled in Medicare PECOS, is affiliated with Lee Memorial Hospital, and maintains a secondary practice location in Westerville.

NPPES Registry Identity

NPI1649232372

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMRS. NICOLE SHUFF KENNEDYCredential: CNP

Location Address23450 VIA COCONUT PTEstero, FL 34135-1877

Mailing AddressPo Box 2147Fort Myers, FL 33902-2147 · (239) 424-1500 · Fax (239) 424-1423

Phone(239) 468-0150

Fax(239) 343-4056

Sole ProprietorNo

Medical School CMSOtherGraduated 2003

Enumeration DateApril 6, 2006

Last NPPES UpdateDecember 15, 20212 updates tracked since enumeration

NPPES CertifiedDecember 15, 2021

✔ NPI 1649232372 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in FL · APRN9487918

Also ListedNurse PractitionerTaxonomy 363L00000X · License RN280201 (OH)

23450 VIA COCONUT PT, Estero, FL 34135

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Secondary Practice Location 1

Location 1560 N Cleveland AveWesterville, OH 43082-9105 · Phone (614) 839-2300 · Fax (614) 839-2301

Other Identifiers 4

Medicaid102248000FL

Medicaid2468146OH

Other000000326662OH · Anthem Pin

OtherP00169140OH · Rr Mcr Pin

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

Mrs. Nicole Shuff Kennedy Cnp 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 ID4486566692

PECOS Enrollment IDI20190307000398

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.

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

100 services93 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

60 services60 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

22 services22 patients

Aspiration and/or injection of fluid from large joint 20610

This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.

19 services16 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

13 services13 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Lee Memorial Hospital

Acute Care Hospitals · Fort Myers, FL

5/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number100012

Location2776 Cleveland AveFort Myers, FL 33901 · Lee County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 34135 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

$91.69 typical visit price

range $58.56 – $179.05

Typical copayment $22.92 (range $14.64 – $44.76)

Most-billed visit code 99203

Established Patient

$103.21 typical visit price

range $18.44 – $144.68

Typical copayment $25.80 (range $4.61 – $36.17)

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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Walker, folding, wheeled, adjustable or fixed height E0143

DME-Other DME · category DE000N

2 suppliers32 claims32 services$43.05 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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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.

JEREMY A DZEN DO

Internal Medicine