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DR. BRIAN ROBERT KENNEDY DNP
NPI 1982053112
Nurse Practitioner - Family in Usaf Academy, CO

Active since June 08, 2016PECOS EnrolledAccepts Medicare Assignment
4102 PINION DR, USAF ACADEMY, CO 80840(719) 524-2273 Get Directions Write a Review

NPPES record last updated: September 5, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Brian Robert Kennedy Dnp NPPES

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

DR. BRIAN ROBERT KENNEDY DNP (NPI 1982053112) is an individual family provider in Usaf Academy, Colorado, licensed in Illinois (209011099) and active in the NPI registry since June 2016. He is enrolled in Medicare PECOS, is affiliated with Ssm Health St Mary's Hospital -centralia, and is a graduate of Other (2013).

NPPES Registry Identity

NPI1982053112
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameDR. BRIAN ROBERT KENNEDYCredential: DNP
Location Address4102 PINION DRUsaf Academy, CO 80840-2502
Mailing Address21 W Southcrest CirEdwardsville, IL 62025-3158 · (314) 346-5204
Phone(719) 524-2273
Sole ProprietorYes
Medical School CMSOtherGraduated 2013
Enumeration DateJune 8, 2016
Last NPPES UpdateSeptember 5, 2024
NPPES CertifiedSeptember 5, 2024
✔ NPI 1982053112 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 IL · 209011099
4102 PINION DR, Usaf Academy, CO 80840
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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 and accepts Medicare assignment

Dr. Brian Robert Kennedy Dnp 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 ID5698261154
PECOS Enrollment IDI20260105002150, I20260603002822
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 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Ssm Health St Mary's Hospital -Centralia

Acute Care Hospitals · Centralia, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140034
Location400 North Pleasant AvenueCentralia, IL 62801 · Marion County
Emergency services

Anderson Hospital

Acute Care Hospitals · Maryville, IL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140289
Location6800 State Route 162Maryville, IL 62062 · Madison County
Emergency services Birthing friendly

Washington County Hospital

Critical Access Hospitals · Nashville, IL
OwnershipGovernment - Hospital District or Authority
CMS Certification Number141308
Location705 S Grand AveNashville, IL 62263 · Washington County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 80840 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
$89.43 typical visit price
range $58.06 – $174.82
Typical copayment $22.35 (range $14.51 – $43.70)
Most-billed visit code 99203
Established Patient
$102.03 typical visit price
range $18.88 – $142.79
Typical copayment $25.50 (range $4.72 – $35.69)
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 20

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

KAREN KEEN HARMON LCSW
Social Worker (Clinical)
4102 PINION DR
USAF ACADEMY, CO 80840
El Paso County (719) 333-5177
DR. JEANETTE MASON BACHMANN M.D.
Pediatrics
4102 PINION DR
US AIR FORCE, CO 80840
El Paso County (719) 333-5111
REBECCA VAN WINKLE RN
Registered Nurse
4102 PINION DR
US AIR FORCE, CO 80840
El Paso County (719) 440-7339
LESLIE SUE MATTORANO PHARMD
Pharmacist
4102 PINION DR
USAF ACADEMY, CO 80840
El Paso County (719) 333-6337
KAY LYN NESS DDS
Dentist (Periodontics)
4102 PINION DR
U S A F ACADEMY, CO 80840
El Paso County (719) 333-5180
ROBERT LLOYD ELWOOD M.D.
Pediatrics (Pediatric Infectious Diseases)
4102 PINION DR
USAF ACADEMY, CO 80840
El Paso County (719) 333-5975
DR. EVAN MATTHEW JONES M.D.
Orthopaedic Surgery (Hand Surgery)
4102 PINION DR
US AIR FORCE, CO 80840
El Paso County (719) 333-5081
STACY KESER
Physical Therapist
4102 PINION DR
USAF ACADEMY, CO 80840
El Paso County (719) 333-3107

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 Brian Kennedy's NPI number?

The NPI number for Brian Kennedy is 1982053112. It was assigned to this individual provider in the NPPES registry on June 8, 2016.

Where is Brian Kennedy located?

Brian Kennedy practices at 4102 Pinion Dr, Usaf Academy, CO 80840. The listed phone number is (719) 524-2273.

What is Brian Kennedy's specialty?

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

Is Brian Kennedy enrolled in Medicare?

Yes. Brian 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.

Is Brian Kennedy affiliated with any hospitals?

According to CMS data, Brian Kennedy is affiliated with Ssm Health St Mary's Hospital -Centralia, Anderson Hospital and Washington County Hospital.

When was this NPI record last updated?

The NPPES record for Brian Kennedy was last updated on September 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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.