KENNEDY L ELDRIDGE DNP, PMHNP-BC
NPI 1750061875
Nurse Practitioner - Psychiatric/Mental Health in Johnson City, TN

Active since July 24, 2023PECOS EnrolledAccepts Medicare Assignment
109 W WATAUGA AVE, JOHNSON CITY, TN 37604(423) 232-2600(423) 232-2646 Get Directions Write a Review

NPPES record last updated: September 12, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Kennedy L Eldridge Dnp, Pmhnp-bc NPPES

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

KENNEDY L ELDRIDGE DNP, PMHNP-BC (NPI 1750061875) is an individual psychiatric/mental health provider in Johnson City, Tennessee, licensed in Tennessee (34383) and active in the NPI registry since July 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1750061875
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameKENNEDY L ELDRIDGECredential: DNP, PMHNP-BC
Location Address109 W WATAUGA AVEJohnson City, TN 37604-5621
Mailing Address1167 Spratlin Park DrGray, TN 37615-6205 · (423) 467-3600 · Fax (423) 467-3644
Fax(423) 232-2646
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateJuly 24, 2023
Last NPPES UpdateSeptember 12, 2023
NPPES CertifiedSeptember 12, 2023
NPI 1750061875 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License Licensed in TN · 34383
109 W WATAUGA AVE, Johnson City, TN 37604

Other Names 1

Other Name (5)Kennedy L Franklin

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Kennedy L Eldridge Dnp, Pmhnp-bc 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 ID6103289996
PECOS Enrollment IDI20230825003521, I20240418000557, I20250206001948
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

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 low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
54 services28 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37604 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
$81.53 typical visit price
range $52.64 – $160.89
Typical copayment $20.38 (range $13.16 – $40.22)
Most-billed visit code 99203
Established Patient
$93.60 typical visit price
range $16.72 – $131.41
Typical copayment $23.40 (range $4.18 – $32.85)
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.

Case Manager/Care Coordinator
109 W WATAUGA AVE
JOHNSON CITY, TN 37604
Counselor (Professional)
109 W WATAUGA AVE
JOHNSON CITY, TN 37604
Case Manager/Care Coordinator
109 W WATAUGA AVE, WATAUGA BEHAVIORAL HEALTH
JOHNSON CITY, TN 37604
Counselor
109 W WATAUGA AVE
JOHNSON CITY, TN 37604
Counselor (Professional)
109 W WATAUGA AVE
JOHNSON CITY, TN 37604
Counselor (Professional)
109 W WATAUGA AVE
JOHNSON CITY, TN 37604
Personal Emergency Response Attendant
109 W WATAUGA AVE
JOHNSON CITY, TN 37604
Case Manager/Care Coordinator
109 W WATAUGA AVE
JOHNSON CITY, TN 37604

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 Eldridge's NPI number?

The NPI number for Kennedy Eldridge is 1750061875. It was assigned to this individual provider in the NPPES registry on July 24, 2023. The provider is also known as Kennedy L Franklin.

Where is Kennedy Eldridge located?

Kennedy Eldridge practices at 109 W Watauga Ave, Johnson City, TN 37604. The listed phone number is (423) 232-2600.

What is Kennedy Eldridge's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Kennedy Eldridge enrolled in Medicare?

Yes. Kennedy Eldridge 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.

What insurance does Kennedy Eldridge accept?

Health plans from BlueCross BlueShield of Tennessee and Oscar Insurance Company list Kennedy Eldridge 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 Eldridge was last updated on September 12, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.