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MARIE ANTOINETTE KENNEDY
NPI 1851899140
Nurse Practitioner in Mishawaka, IN

Active since February 01, 2018PECOS EnrolledAccepts Medicare Assignment
611 E DOUGLAS RD STE 208, MISHAWAKA, IN 46545(574) 335-6000(574) 335-0738 Get Directions Write a Review

NPPES record last updated: June 19, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 19, 2024, Mar 5, 2024, Apr 10, 2019 and 2 more (5 updates tracked since 2019).

About Marie Antoinette Kennedy NPPES

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

MARIE ANTOINETTE KENNEDY (NPI 1851899140) is an individual nurse practitioner in Mishawaka, Indiana, licensed in Indiana (71007869A) and active in the NPI registry since February 2018. She is enrolled in Medicare PECOS, is affiliated with Saint Joseph Regional Medical Center, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1851899140
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameMARIE ANTOINETTE KENNEDY
Location Address611 E DOUGLAS RD STE 208Mishawaka, IN 46545-1465
Mailing Address707 Cedar St Ste 200South Bend, IN 46617-2057 · (574) 335-8707 · Fax (574) 335-0741
Phone(574) 335-6000
Fax(574) 335-0738
Sole ProprietorYes
Medical School CMSOtherGraduated 2005
Enumeration DateFebruary 1, 2018
Last NPPES UpdateJune 19, 20245 updates tracked since enumeration
NPPES CertifiedJune 19, 2024
✔ NPI 1851899140 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in IN · 71007869A
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedNurse Practitioner · GerontologyTaxonomy 363LG0600X · License 71007869A (IN), 28143781A (IN)
611 E DOUGLAS RD STE 208, Mishawaka, IN 46545
Open in Google Maps ↗

Secondary Practice Locations 2

Location 11668 S US Highway 421Westville, IN 46391-9523 · Phone (219) 785-8424 · Fax (888) 692-8982
Location 23500 Franciscan Way Ste 400Michigan City, IN 46360-0033 · Phone (219) 878-8200 · Fax (219) 878-8331

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.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

Marie Antoinette Kennedy 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 ID8820351190
PECOS Enrollment IDI20180419000968
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

2

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

Franciscan Physician Network
4.3 mi
Urgent Care
1515 W DRAGOON TRL
Mishawaka, IN 46544
  • Reassigned Medicare billing, Indiana enrollment
  • 1,396 clinicians in this Medicare group
NPI 1366879009 (574) 254-6253
Saint Joseph Regional Medical Center, Inc.
6.2 mi
Family Medicine
60101 BODNAR BLVD STE 100B
Mishawaka, IN 46544
  • Reassigned Medicare billing, Indiana enrollment
  • 205 clinicians in this Medicare group
NPI 1467406074 (574) 335-8500

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.

Saint Joseph Regional Medical Center

Acute Care Hospitals · Mishawaka, IN
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150012
Location5215 Holy Cross PkwyMishawaka, IN 46545 · St. Joseph County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46545 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
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
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 7

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

EVONNE HIGDON NP
Nurse Practitioner
611 E DOUGLAS RD STE 208
MISHAWAKA, IN 46545
St. Joseph County (574) 335-6700
DR. HARSHA SANTHESHIVARA NAGARAJARAO M.D.
Internal Medicine (Cardiovascular Disease)
611 E DOUGLAS RD STE 208
MISHAWAKA, IN 46545
St. Joseph County (574) 335-6700
DR. SACHIN R. PATEL M.D.
Internal Medicine (Cardiovascular Disease)
611 E DOUGLAS RD STE 208
MISHAWAKA, IN 46545
St. Joseph County (574) 335-6700
DR. PRAVIN PRATAP M.D.
Internal Medicine (Cardiovascular Disease)
611 E DOUGLAS RD STE 208
MISHAWAKA, IN 46545
St. Joseph County (574) 335-6700
FEI LU MD
Internal Medicine (Clinical Cardiac Electrophysiology)
611 E DOUGLAS RD STE 208
MISHAWAKA, IN 46545
St. Joseph County (574) 335-6700
DR. RANJAN GUPTA M.D.
Thoracic Surgery (Cardiothoracic Vascular Surgery)
611 E DOUGLAS RD STE 208
MISHAWAKA, IN 46545
St. Joseph County (574) 335-6000
JANEY LYNNE HARDESTY FNP
Nurse Practitioner (Family)
611 E DOUGLAS RD STE 208
MISHAWAKA, IN 46545
St. Joseph County (574) 335-6700

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 Marie Kennedy's NPI number?

The NPI number for Marie Kennedy is 1851899140. It was assigned to this individual provider in the NPPES registry on February 1, 2018.

Where is Marie Kennedy located?

Marie Kennedy practices at 611 E Douglas Rd Ste 208, Mishawaka, IN 46545. The listed phone number is (574) 335-6000.

What is Marie Kennedy's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Marie Kennedy enrolled in Medicare?

Yes. Marie 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 Marie Kennedy's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Marie Kennedy reassigns Medicare benefits to 2 organizations: Franciscan Physician Network (Mishawaka, IN) and Saint Joseph Regional Medical Center, Inc. (Mishawaka, IN). 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 Marie Kennedy's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Marie Kennedy accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource list Marie 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 Marie Kennedy affiliated with any hospitals?

According to CMS data, Marie Kennedy is affiliated with Saint Joseph Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Marie Kennedy was last updated on June 19, 2024. 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.