MR. KENNEDY A EDWARDS (BSN, RN, CCRN) – Acute Care Nurse Practitioner, NPI 1154092781

MR. KENNEDY A EDWARDS (BSN, RN, CCRN) is a healthcare provider. based in Mobile, Alabama. specializing in NURSE PRACTITIONER. They hold the professional credentials BSN, RN, CCRN. They hold a License No. 1-166795 (AL). The NPI Number for MR. KENNEDY A EDWARDS (BSN, RN, CCRN) is 1154092781

Main info

Male
3 Years Of Experience
Accepts Medicare Assignment
Name
MR. KENNEDY A EDWARDS (BSN, RN, CCRN)
NPI
1154092781
Phone
(318) 267-9678
Address
2201 SEASONS CT
Enumeration Date
23 September 2021
Last Update Date
18 November 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4072002700
Graduation Year
2023 (3 years ago)
PAC ID
5890141196
Group Practice PAC ID
0749186153
Professional Enrollment ID
I20251109000036
Address ID
FL327517102MA2600XLNXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness85
Years active:4State licenses:3Digital endpointsOther names

24,243 NURSE PRACTITIONER in FL

Provider Addresses for MR. KENNEDY A EDWARDS (BSN, RN, CCRN)

  • 2201 SEASONS CT

    MOBILE, AL 366958392

    Phone: (318) 267-9678

    Type: Mailing

  • 601 E ROLLINS ST

    ORLANDO, FL 328031248

    Phone: (407) 303-7283

    Fax: (407) 303-0347

    Type: Location

  • 1700 Spring Hill Ave Ste 100

    Mobile, AL 366041416

    Phone: (251) 435-1200

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $42.

Total Amount is formed as General ($42) + Research ($0) + Ownership ($0) = $42.

Last reported payment date: 2024-02-01 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($42).

Total Amount

$42

General + Research + Ownership

Payments

2

Total payment records

General Amount

$42

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-02-01

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-11-09

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20231023002496INurse PractitionerALTBD
I20251109000036INurse PractitionerFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 36695)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0749186153View full group profile
NameSpecialtyState
Physician AssistantFL
N E U R O L O G YFL
General SurgeryFL
Cardiovascular Disease (Cardiology), Internal Medicine, Interventional CardiologyFL
Nurse PractitionerFL
O B S T E T R I C S/ G Y N E C O L O G YFL
General SurgeryFL
Pulmonary Disease, Critical Care (Intensivists)FL
O B S T E T R I C S/ G Y N E C O L O G YMI
Physician AssistantFL

Reviews

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Frequently asked questions

How is MR. KENNEDY A EDWARDS (BSN, RN, CCRN) identified in CMS data?
CMS-hosted NPPES data lists MR. KENNEDY A EDWARDS (BSN, RN, CCRN) with NPI 1154092781.
Does CMS list MR. KENNEDY A EDWARDS (BSN, RN, CCRN) as active?
Yes — MR. KENNEDY A EDWARDS (BSN, RN, CCRN) is active in the NPI listing used on this page.
What is MR. KENNEDY A EDWARDS (BSN, RN, CCRN) best known for clinically?
Directory data describes MR. KENNEDY A EDWARDS (BSN, RN, CCRN) with Acute Care Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where should I expect MR. KENNEDY A EDWARDS (BSN, RN, CCRN) on a map?
Expect Mobile, Alabama as a primary anchor for MR. KENNEDY A EDWARDS (BSN, RN, CCRN) unless the record lists multiple sites.
Why does MR. KENNEDY A EDWARDS (BSN, RN, CCRN) have multiple addresses?
4 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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