TINA B KENNEDY FNP
NPI 1922125087
Nurse Practitioner - Family in Beulaville, NC

Q: 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.

Q: What is Tina 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 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.

Active since March 23, 2007PECOS EnrolledAccepts Medicare Assignment

119 CROSSOVER RD, BEULAVILLE, NC 28518(910) 298-3125(910) 298-8101 Get Directions Write a Review

NPPES record last updated: August 22, 2016. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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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

NPI1922125087

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameTINA B KENNEDYCredential: FNP

Location Address119 CROSSOVER RDBeulaville, NC 28518-8801

Mailing Address119 Crossover RdBeulaville, NC 28518-8801 · (910) 298-3125 · Fax (910) 298-8101

Phone(910) 298-3125

Fax(910) 298-8101

Sole ProprietorNo

Medical School CMSOtherGraduated 2005

Enumeration DateMarch 23, 2007

Last NPPES UpdateAugust 22, 2016

✔ NPI 1922125087 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

License✔ Licensed in NC · 0050-00700

119 CROSSOVER RD, Beulaville, NC 28518

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and more.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

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.

PECOS PAC ID2668498031

PECOS Enrollment IDI20051015000139

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.

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, NC

4/5 CMS rating

OwnershipGovernment - Local

CMS Certification Number340120

Location401 N Main StKenansville, NC 28349 · Duplin County

Emergency services Birthing friendly

Physician 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.

New Patient

$83.90 typical visit price

range $54.12 – $165.09

Typical copayment $20.97 (range $13.53 – $41.27)

Most-billed visit code 99203

Established Patient

$95.94 typical visit price

range $17.21 – $134.61

Typical copayment $23.98 (range $4.30 – $33.65)

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.

MARSHALL K QUINN M.D.

Family Medicine