TINA B KENNEDY FNP
NPI 1922125087
Nurse Practitioner - Family in Beulaville, NC
About Tina B Kennedy Fnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TINA B KENNEDY FNP (NPI 1922125087) is an individual family provider in Beulaville, North Carolina, licensed in North Carolina (0050-00700) and active in the NPI registry since March 2007. She is enrolled in Medicare PECOS, is affiliated with Vidant Duplin Hospital, and is a graduate of Other (2005).
NPPES Registry Identity
Specialties & Licenses
Accepted 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
Tina B Kennedy Fnp 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.
Medicare Billing Reassignments
3Medicare enrollment records show Tina Kennedy reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Beulaville, NC 28518
- Reassigned Medicare billing, North Carolina enrollment
- 173 clinicians in this Medicare group
Kenansville, NC 28349
- Reassigned Medicare billing, North Carolina enrollment
- 4 clinicians in this Medicare group
Greenville, NC 27834
- Reassigned Medicare billing, North Carolina enrollment
- 92 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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Vidant Duplin Hospital
Acute Care Hospitals · Kenansville, NCPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 28518 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
BEULAVILLE, NC 28518
BEULAVILLE, NC 28518
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 Tina Kennedy's NPI number?
The NPI number for Tina Kennedy is 1922125087. It was assigned to this individual provider in the NPPES registry on March 23, 2007.
Where is Tina Kennedy located?
Tina Kennedy practices at 119 Crossover Rd, Beulaville, NC 28518. The listed phone number is (910) 298-3125.
What is Tina Kennedy's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Tina Kennedy enrolled in Medicare?
Yes. Tina 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 Tina Kennedy's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Tina Kennedy reassigns Medicare benefits to 3 organizations: Goshen Medical Center Incorporated (Beulaville, NC), County Of Duplin (Kenansville, NC) and Eastern Nephrology Associates PLLC (Greenville, NC). 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 Tina Kennedy's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Tina Kennedy accept?
Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and Blue Cross and Blue Shield of NC and 1 other insurer list Tina 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 Tina Kennedy affiliated with any hospitals?
According to CMS data, Tina Kennedy is affiliated with Vidant Duplin Hospital.
When was this NPI record last updated?
The NPPES record for Tina Kennedy was last updated on August 22, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.
# Tina B Kennedy, FNP · NPI 1922125087
Family physician in Beulaville, North Carolina. Individual provider, active in the CMS NPPES registry since March 23, 2007.
## Identity
- **NPI:** 1922125087 (Entity type: Individual)
- **Enumerated:** March 23, 2007
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 0050-00700 (North Carolina)
- **Sole proprietor:** No
## Practice location
- **Address:** 119 CROSSOVER RD, Beulaville, NC 28518-8801
- **Phone:** (910) 298-3125 · **Fax:** (910) 298-8101
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Goshen Medical Center Incorporated (NPI 1639294309, Beulaville, NC); County Of Duplin (NPI 1235198177, Kenansville, NC); Eastern Nephrology Associates PLLC (NPI 1417083783, Greenville, NC) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2005
## Record status
- **NPPES last updated:** August 22, 2016
---
Source: [NPI Profile](https://npiprofile.com/npi/1922125087) · Data from the CMS NPPES public registry.