KENNEDY M BRUMMOND OT
NPI 1659018240
Occupational Therapist in Green Bay, WI
About Kennedy M Brummond Ot NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KENNEDY M BRUMMOND OT (NPI 1659018240) is an individual occupational therapist in Green Bay, Wisconsin, licensed in Wisconsin (7275-26) and active in the NPI registry since May 2022. She maintains a secondary practice location in Green Bay.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Kennedy M Brummond Ot is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare enrollment records show Kennedy Brummond reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Green Bay, WI 54301
- Reassigned Medicare billing, Wisconsin enrollment
- 875 clinicians in this Medicare group
Kewaunee, WI 54216
- Reassigned Medicare billing, Wisconsin enrollment
- 573 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.
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.
GREEN BAY, WI 54301
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 Kennedy Brummond's NPI number?
The NPI number for Kennedy Brummond is 1659018240. It was assigned to this individual provider in the NPPES registry on May 16, 2022. The provider is also known as Kennedy Spang.
Where is Kennedy Brummond located?
Kennedy Brummond practices at 744 S Webster Ave, Green Bay, WI 54301. The listed phone number is (920) 433-3655.
What is Kennedy Brummond's specialty?
The primary specialty registered for this NPI is Occupational Therapist with taxonomy code 225X00000X.
Is Kennedy Brummond enrolled in Medicare?
Yes. Kennedy Brummond is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Kennedy Brummond's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kennedy Brummond reassigns Medicare benefits to 2 organizations: Bellin Memorial Hospital Inc. (Green Bay, WI) and Oconto Hospital & Medical Center Inc (Kewaunee, WI). 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 Kennedy Brummond's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kennedy Brummond accept?
Health plans from CareSource (Common Ground Healthcare) list Kennedy Brummond 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 Kennedy Brummond was last updated on May 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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.