KENNEDY C ONYENWE RN
NPI 1760021604
Nurse Practitioner - Psychiatric/Mental Health in Staten Island, NY

Active since December 23, 2019PECOS EnrolledAccepts Medicare Assignment
150 WOODBINE AVE, STATEN ISLAND, NY 10314(347) 750-9479 Get Directions Write a Review

NPPES record last updated: April 7, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 7, 2022, Dec 23, 2019 (2 updates tracked since 2019).

About Kennedy C Onyenwe Rn NPPES

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

KENNEDY C ONYENWE RN (NPI 1760021604) is an individual psychiatric/mental health provider in Staten Island, New York, licensed in New York (F40297701) and active in the NPI registry since December 2019. He is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1760021604
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameKENNEDY C ONYENWECredential: RN
Location Address150 WOODBINE AVEStaten Island, NY 10314-1834
Mailing Address150 Woodbine AveStaten Island, NY 10314-1834 · (347) 750-9479
Sole ProprietorYes
Medical School CMSOtherGraduated 2019
Enumeration DateDecember 23, 2019
Last NPPES UpdateApril 7, 20222 updates tracked since enumeration
NPPES CertifiedApril 7, 2022
✔ NPI 1760021604 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in NY · F40297701
Also ListedRegistered NurseTaxonomy 163W00000X · License 598591 (NY)
150 WOODBINE AVE, Staten Island, NY 10314

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

Kennedy C Onyenwe 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.

PECOS PAC ID1557727484
PECOS Enrollment IDI20230519001127
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.

Medicare Billing Reassignments

3

Medicare enrollment records show Kennedy Onyenwe reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Same address
Family
150 WOODBINE AVE
Staten Island, NY 10314
  • Reassigned Medicare billing, New York enrollment
  • 2 clinicians in this Medicare group
Family
150 WOODBINE AVE
Staten Island, NY 10314
  • Reassigned Medicare billing, New York enrollment
  • 2 clinicians in this Medicare group
Federally Qualified Health Center (FQHC)
2324 FOREST AVE
Staten Island, NY 10303
  • Reassigned Medicare billing, New York enrollment
  • 58 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10314 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
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
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 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Family)
150 WOODBINE AVE
STATEN ISLAND, NY 10314
Nurse Practitioner (Family)
150 WOODBINE AVE
STATEN ISLAND, NY 10314

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 Onyenwe's NPI number?

The NPI number for Kennedy Onyenwe is 1760021604. It was assigned to this individual provider in the NPPES registry on December 23, 2019.

Where is Kennedy Onyenwe located?

Kennedy Onyenwe practices at 150 Woodbine Ave, Staten Island, NY 10314. The listed phone number is (347) 750-9479.

What is Kennedy Onyenwe's specialty?

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

Is Kennedy Onyenwe enrolled in Medicare?

Yes. Kennedy Onyenwe 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 Kennedy Onyenwe's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kennedy Onyenwe reassigns Medicare benefits to 3 organizations: Ojso LLC (Staten Island, NY), Healthcare Wellness Np In Family Health PLLC (Staten Island, NY) and Metro Community Health Centers, Inc. (Staten Island, NY). 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 Kennedy Onyenwe's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Kennedy Onyenwe was last updated on April 7, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.