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MRS. DANA LYNN KENNEDY RD
NPI 1720895402
Dietitian, Registered in Green Bay, WI

Active since December 16, 2024Accepts Medicare Assignment
744 S WEBSTER AVE, GREEN BAY, WI 54301(920) 433-6057 Get Directions Write a Review

NPPES record last updated: December 23, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 23, 2024, Dec 16, 2024 (2 updates tracked since 2024).

About Mrs. Dana Lynn Kennedy Rd NPPES

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

MRS. DANA LYNN KENNEDY RD (NPI 1720895402) is an individual dietitian, registered in Green Bay, Wisconsin, licensed in Wisconsin (2341-29) and active in the NPI registry since December 2024. She is a graduate of Other (1978).

NPPES Registry Identity

NPI1720895402
Entity TypeIndividualFemale
Primary Taxonomy133V00000X
Provider Legal NameMRS. DANA LYNN KENNEDYCredential: RD
Location Address744 S WEBSTER AVEGreen Bay, WI 54301-3505
Mailing Address744 S Webster AveGreen Bay, WI 54301-3505 · (920) 433-6057
Phone(920) 433-6057
Sole ProprietorYes
Medical School CMSOtherGraduated 1978
Enumeration DateDecember 16, 2024
Last NPPES UpdateDecember 23, 20242 updates tracked since enumeration
NPPES CertifiedDecember 23, 2024
✔ NPI 1720895402 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers
Taxonomy Code133V00000X
License✔ Licensed in WI · 2341-29
Definition
A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.
744 S WEBSTER AVE, Green Bay, WI 54301
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource (Common Ground Healthcare).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

Mrs. Dana Lynn Kennedy Rd 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 ID143740118
PECOS Enrollment IDI20250220001571

Medicare Billing Reassignments

2

Medicare enrollment records show Dana Kennedy reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Bellin Memorial Hospital Inc
Same address
Family Medicine
744 S WEBSTER AVE
Green Bay, WI 54301
  • Reassigned Medicare billing, Wisconsin enrollment
  • 875 clinicians in this Medicare group
NPI 1033172390 (920) 445-7272
Oconto Hospital & Medical Center Inc
24 mi
Rural Health
575 4TH ST
Kewaunee, WI 54216
  • Reassigned Medicare billing, Wisconsin enrollment
  • 573 clinicians in this Medicare group
NPI 1053279091 (920) 388-4640

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54301 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
$0.00 typical visit price
range $53.90 – $163.24
Typical copayment $0.00 (range $13.47 – $40.81)
Most-billed visit code NA
Established Patient
$95.41 typical visit price
range $17.40 – $133.76
Typical copayment $23.85 (range $4.35 – $33.44)
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.

TAMMY ANN MOTQUIN
Nurse Practitioner (Family)
744 S WEBSTER AVE
GREEN BAY, WI 54301
Brown County (920) 445-7226
DR. PAMELA RANI SUD MD
Internal Medicine (Pulmonary Disease)
744 S WEBSTER AVE
GREEN BAY, WI 54301
Brown County (920) 433-7451
CALEY PETERS RPH
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
744 S WEBSTER AVE
GREEN BAY, WI 54301
Brown County (920) 431-5696
YONGSUB CHOI
Internal Medicine
744 S WEBSTER AVE
GREEN BAY, WI 54301
Brown County (920) 433-3500
CORINNE ELIZABETH GEORGE APNP
Nurse Practitioner (Neonatal)
744 S WEBSTER AVE
GREEN BAY, WI 54301
Brown County (920) 433-3500
STEVEN THANH HO CAA
Anesthesiologist Assistant
744 S WEBSTER AVE
GREEN BAY, WI 54301
Brown County (920) 433-3605
JAMIE LYNN MOSUPYE O.T.
Occupational Therapist
744 S WEBSTER AVE
GREEN BAY, WI 54301
Brown County (920) 433-7823
MIRANDA MARIE HINTZ APNP
Nurse Practitioner
744 S WEBSTER AVE
GREEN BAY, WI 54301
Brown County (920) 433-7457

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 Dana Kennedy's NPI number?

The NPI number for Dana Kennedy is 1720895402. It was assigned to this individual provider in the NPPES registry on December 16, 2024.

Where is Dana Kennedy located?

Dana Kennedy practices at 744 S Webster Ave, Green Bay, WI 54301. The listed phone number is (920) 433-6057.

What is Dana Kennedy's specialty?

The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.

Is Dana Kennedy enrolled in Medicare?

Yes. Dana 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 Dana Kennedy's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Dana Kennedy 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 Dana Kennedy's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Dana Kennedy accept?

Health plans from Anthem Blue Cross and Blue Shield and CareSource (Common Ground Healthcare) list Dana 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.

When was this NPI record last updated?

The NPPES record for Dana Kennedy was last updated on December 23, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.