BETHANY H KENNEDY ANP, MSN, RN
NPI 1710328760
Nurse Practitioner - Adult Health in Commack, NY
About Bethany H Kennedy Anp, Msn, Rn NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BETHANY H KENNEDY ANP, MSN, RN (NPI 1710328760) is an individual adult health provider in Commack, New York, licensed in New York (306535) and active in the NPI registry since July 2013. She is enrolled in Medicare PECOS, is affiliated with John T Mather Memorial Hospital Of Port Jefferson, and is a graduate of Other (2013).
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
Bethany H Kennedy Anp, Msn, Rn 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 Bethany Kennedy reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Smithtown, NY 11787
- Reassigned Medicare billing, New York enrollment
- 11 clinicians in this Medicare group
Austin, TX 78705
- Reassigned Medicare billing, Texas enrollment
- 140 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.
John T Mather Memorial Hospital Of Port Jefferson
Acute Care Hospitals · Port Jefferson, NYPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 11725 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES
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 Bethany Kennedy's NPI number?
The NPI number for Bethany Kennedy is 1710328760. It was assigned to this individual provider in the NPPES registry on July 7, 2013.
Where is Bethany Kennedy located?
Bethany Kennedy practices at 2171 Jericho Tpke Ste 135, Commack, NY 11725. The listed phone number is (631) 670-6525.
What is Bethany Kennedy's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.
Is Bethany Kennedy enrolled in Medicare?
Yes. Bethany Kennedy 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 Bethany Kennedy's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Bethany Kennedy reassigns Medicare benefits to 2 organizations: Millennium Medical Professionals, PLLC (Smithtown, NY) and Post Acute Specialists Of Texas PA (Austin, TX). 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 Bethany Kennedy's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Bethany Kennedy accept?
Health plans from Blue Cross and Blue Shield of Texas list Bethany Kennedy 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 Bethany Kennedy affiliated with any hospitals?
According to CMS data, Bethany Kennedy is affiliated with John T Mather Memorial Hospital Of Port Jefferson.
When was this NPI record last updated?
The NPPES record for Bethany Kennedy was last updated on October 5, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.
# Bethany H Kennedy, ANP, MSN, RN · NPI 1710328760
Adult Health physician in Commack, New York. Individual provider, active in the CMS NPPES registry since July 7, 2013.
## Identity
- **NPI:** 1710328760 (Entity type: Individual)
- **Enumerated:** July 7, 2013
- **Primary specialty:** Nurse Practitioner - Adult Health · taxonomy 363LA2200X
- **State license:** 306535 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 2171 JERICHO TPKE STE 135, Commack, NY 11725-2947
- **Phone:** (631) 670-6525
## 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): Millennium Medical Professionals, PLLC (NPI 1114364510, Smithtown, NY); Post Acute Specialists Of Texas PA (NPI 1942859350, Austin, TX) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2013
## Record status
- **NPPES last updated:** October 5, 2014
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Source: [NPI Profile](https://npiprofile.com/npi/1710328760) · Data from the CMS NPPES public registry.