MS. KIMBERLY KRISTINE KENNEDY ARNP
NPI 1912101262
Nurse Practitioner - Family in Louisville, KY

Q: What is Kimberly Kennedy's NPI number?

The NPI number for Kimberly Kennedy is 1912101262. It was assigned to this individual provider in the NPPES registry on June 12, 2007.

Q: What is Kimberly Kennedy's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Kimberly Kennedy was last updated on October 7, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.

Active since June 12, 2007PECOS Enrolled

2215 PORTLAND AVE, LOUISVILLE, KY 40212(502) 953-4799(502) 953-4798 Get Directions Write a Review

NPPES record last updated: October 7, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 7, 2019, Sep 16, 2019, Aug 2, 2018 (3 updates tracked since 2018).

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About Ms. Kimberly Kristine Kennedy Arnp NPPES

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

MS. KIMBERLY KRISTINE KENNEDY ARNP (NPI 1912101262) is an individual family provider in Louisville, Kentucky, licensed in Kentucky (3002147) and active in the NPI registry since June 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1912101262

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMS. KIMBERLY KRISTINE KENNEDYCredential: ARNP

Location Address2215 PORTLAND AVELouisville, KY 40212-1033

Mailing AddressPo Box 950244Louisville, KY 40295-0244 · (502) 953-4700 · Fax (502) 772-8189

Phone(502) 953-4799

Fax(502) 953-4798

Sole ProprietorNo

Enumeration DateJune 12, 2007

Last NPPES UpdateOctober 7, 20193 updates tracked since enumeration

✔ NPI 1912101262 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

Licenses✔ Licensed in KY · 3002147✔ Licensed in FL · ARNP93334483

2215 PORTLAND AVE, Louisville, KY 40212

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Kimberly Kristine Kennedy Arnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40212 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

$82.24 typical visit price

range $52.76 – $162.27

Typical copayment $20.56 (range $13.19 – $40.56)

Most-billed visit code 99203

Established Patient

$93.94 typical visit price

range $16.53 – $131.99

Typical copayment $23.48 (range $4.13 – $32.99)

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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

1 supplier11 claims22 services$5.38 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

JAIVANTI LOHANO MD

Family Medicine