LAUREN KENNERLY
NPI 1699376996
Nurse Practitioner - Adult Health in Eagan, MN

Active since November 03, 2020PECOS Enrolled
PO BOX 211699, EAGAN, MN 55121(866) 849-0692(888) 973-8821 Get Directions Write a Review

NPPES record last updated: June 22, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 20, 2026, Apr 16, 2026, Apr 10, 2026 and 5 more (8 updates tracked since 2020).

About Lauren Kennerly NPPES

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

LAUREN KENNERLY (NPI 1699376996) is an individual adult health provider in Eagan, Minnesota, licensed in Georgia (APRN-NP335780) and active in the NPI registry since November 2020. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1699376996
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameLAUREN KENNERLY
Location AddressPO BOX 211699Eagan, MN 55121-3699
Mailing AddressPo Box 211699Eagan, MN 55121-3699 · (866) 849-0692 · Fax (888) 973-8821
Fax(888) 973-8821
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateNovember 3, 2020
Last NPPES UpdateJune 22, 20268 updates tracked since enumeration
NPPES CertifiedJune 22, 2026
NPI 1699376996 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
Licenses Licensed in GA · APRN-NP335780 Licensed in CO · C-APN.0106154-C-NP Licensed in FL · APRN11045621 Licensed in NC · 5024485 Licensed in AL · 3-002805 Licensed in AR · 237988 Licensed in SC · 31849 Licensed in OH · 0028862 Licensed in TX · 1231287 Licensed in PA · SP035463 Licensed in IA · H189520 Licensed in MS · 908237 Licensed in MO · 2026009163
Also ListedRegistered NurseTaxonomy 163W00000X · License 041425398 (IL)
Also ListedNurse Practitioner · Primary CareTaxonomy 363LP2300X · License 95017524 (CA)
PO BOX 211699, Eagan, MN 55121

Secondary Practice Locations 2

Location 150 Alessandro Pl Ste A20Pasadena, CA 91105-3149 · Phone (800) 851-0966
Location 21611 W Harrison StChicago, IL 60612-4861 · Phone (312) 432-2472

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Lauren Kennerly is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3375998685
PECOS Enrollment IDI20231005003483
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 8

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 straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
75 services45 patients
New patient office or other outpatient visit with straightforward medical decision making, if using time, 15 minutes or more 99202
This service involves an initial visit to the doctor's office or other outpatient setting. It typically lasts between 15-29 minutes. The doctor will review your medical history, conduct a physical examination, and discuss your health concerns. It's a chance to establish your health baseline and address any immediate medical issues.
37 services37 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
28 services28 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
19 services17 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
13 services13 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
13 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55121 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
$85.82 typical visit price
range $56.00 – $168.28
Typical copayment $21.45 (range $14.00 – $42.07)
Most-billed visit code 99203
Established Patient
$98.61 typical visit price
range $18.32 – $138.04
Typical copayment $24.65 (range $4.58 – $34.51)
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.

Nurse Practitioner (Family)
PO BOX 211699
EAGAN, MN 55121
Nurse Practitioner (Family)
PO BOX 211699
EAGAN, MN 55121
Nurse Practitioner (Family)
PO BOX 211699
EAGAN, MN 55121
Registered Nurse
PO BOX 211699
EAGAN, MN 55121
Nurse Practitioner (Family)
PO BOX 211699
EAGAN, MN 55121
Nurse Practitioner (Adult Health)
PO BOX 211699
EAGAN, MN 55121
Nurse Practitioner (Family)
PO BOX 211699
EAGAN, MN 55121
Nurse Practitioner (Family)
PO BOX 211699
EAGAN, MN 55121

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 Lauren Kennerly's NPI number?

The NPI number for Lauren Kennerly is 1699376996. It was assigned to this individual provider in the NPPES registry on November 3, 2020.

Where is Lauren Kennerly located?

Lauren Kennerly practices at PO Box 211699, Eagan, MN 55121. The listed phone number is (866) 849-0692.

What is Lauren Kennerly's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Lauren Kennerly enrolled in Medicare?

Yes. Lauren Kennerly is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Lauren Kennerly was last updated on June 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 44 days 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.