SHANNON RENE' KENNEDY FNP-C
NPI 1700474541
Nurse Practitioner - Family in Midland, TX

Q: What is Shannon Kennedy's NPI number?

The NPI number for Shannon Kennedy is 1700474541. It was assigned to this individual provider in the NPPES registry on January 7, 2021.

Q: What is Shannon 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 Shannon Kennedy was last updated on April 29, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since January 07, 2021PECOS Enrolled

400 ROSALIND REDFERN GROVER PKWY, MIDLAND, TX 79701(432) 221-1111 Get Directions Write a Review

NPPES record last updated: April 29, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 29, 2021, Mar 3, 2021, Jan 7, 2021 (3 updates tracked since 2021).

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About Shannon Rene' Kennedy Fnp-c NPPES

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

SHANNON RENE' KENNEDY FNP-C (NPI 1700474541) is an individual family provider in Midland, Texas, licensed in Texas (1014885) and active in the NPI registry since January 2021. She is enrolled in Medicare PECOS and maintains a secondary practice location in Midland.

NPPES Registry Identity

NPI1700474541

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameSHANNON RENE' KENNEDYCredential: FNP-C

Location Address400 ROSALIND REDFERN GROVER PKWYMidland, TX 79701-5846

Mailing Address2215 Nashville AveLubbock, TX 79410-1105 · (806) 725-5411 · Fax (806) 723-7766

Phone(432) 221-1111

Sole ProprietorNo

Enumeration DateJanuary 7, 2021

Last NPPES UpdateApril 29, 20213 updates tracked since enumeration

NPPES CertifiedApril 29, 2021

✔ NPI 1700474541 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

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

Taxonomy Code363LF0000X

License✔ Licensed in TX · 1014885

Also ListedRegistered NurseTaxonomy 163W00000X · License 722924 (TX)

Also ListedHospitalistTaxonomy 208M00000X · License 1014885 (TX)

400 ROSALIND REDFERN GROVER PKWY, Midland, TX 79701

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Secondary Practice Location 1

Location 12509 W Shandon AveMidland, TX 79705-6340 · Phone (432) 413-2023

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shannon Rene' Kennedy Fnp-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 79701 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

$84.92 typical visit price

range $54.84 – $166.88

Typical copayment $21.23 (range $13.71 – $41.72)

Most-billed visit code 99203

Established Patient

$97.05 typical visit price

range $17.52 – $136.11

Typical copayment $24.26 (range $4.38 – $34.02)

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.

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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.

MIDLAND COMMUNITY HEALTHCARE SERVICES

Clinic/Center (Federally Qualified Health Center (FQHC))

400 ROSALIND REDFERN GROVER PKWY, 3RD FLOOR
MIDLAND, TX 79701

Midland County (432) 681-3100

GYPSY JANE JASSO MSN, APRN, FNP-C

Nurse Practitioner (Family)