TERESA MARIE KENNEDY (CRNP) – Gerontology Nurse Practitioner, NPI 1669865234

TERESA MARIE KENNEDY (CRNP) is a healthcare provider. based in Huntsville, Alabama. specializing in NURSE PRACTITIONER. They hold the professional credentials CRNP. They hold a License No. 1-054824 (AL). The NPI Number for TERESA MARIE KENNEDY (CRNP) is 1669865234

Main info

Female
12 Years Of Experience
Accepts Medicare Assignment
Name
TERESA MARIE KENNEDY (CRNP)
NPI
1669865234
Phone
(256) 519-8104
Address
930 FRANKLIN ST SE
Enumeration Date
6 March 2015
Last Update Date
17 August 2016

Doctor Profile

Medical School Name
UNIVERSITY OF ALABAMA SCHOOL OF MEDICINE
Secondary Phone
2562652372
Graduation Year
2014 (12 years ago)
PAC ID
5294046710
Group Practice PAC ID
1951694678
Professional Enrollment ID
I20150624001321
Address ID
AL358014421HU101XXSWXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience41
Completeness75
Years active:11State licenses:1Digital endpointsOther names

5,653 NURSE PRACTITIONER in AL

Provider Addresses for TERESA MARIE KENNEDY (CRNP)

  • 930 FRANKLIN ST SE

    HUNTSVILLE, AL 358014312

    Phone: (256) 519-8104

    Fax: (256) 519-8327

    Type: Mailing

  • 201 SIVLEY RD SW

    SUITE 30

    HUNTSVILLE, AL 358015134

    Phone: (256) 265-6566

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

CMS reports 6 Open Payments records for all available years, with a total value of $196.

Total Amount is formed as General ($196) + Research ($0) + Ownership ($0) = $196.

Last reported payment date: 2024-11-21 • Largest payer in this snapshot: Boston Scientific Corporation ($121).

Total Amount

$196

General + Research + Ownership

Payments

6

Total payment records

General Amount

$196

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-21

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: 2015-06-24

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

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
I20150624001321INurse PractitionerALTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes658314$0
View full utilization report →

Insurance plans in this area (ZIP 35801)

Loading plans...

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: 1951694678View full group profile

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

What is the standard ID for TERESA MARIE KENNEDY (CRNP) in the U.S.?
In the U.S., TERESA MARIE KENNEDY (CRNP) is identified by NPI 1669865234.
Does the public listing show TERESA MARIE KENNEDY (CRNP) as active?
TERESA MARIE KENNEDY (CRNP)'s NPI record reflects an active status in NPPES.
Which specialty label fits TERESA MARIE KENNEDY (CRNP)?
NPPES ties TERESA MARIE KENNEDY (CRNP) to Gerontology Nurse Practitioner in the taxonomy section. Clinical services aligned with this taxonomy classification.
Which community is linked to TERESA MARIE KENNEDY (CRNP)?
TERESA MARIE KENNEDY (CRNP) shows a connection to Huntsville, Alabama in registry-derived data.
Who maintains TERESA MARIE KENNEDY (CRNP)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

Similar Providers

JULIE ELLEN MCCORMICK (CRNP)

Gerontology Nurse Practitioner
3007 MEMORIAL PKWY SW
NPI: 1588003735

SERENA NICHOLE MOSS (CRNP)

Gerontology Nurse Practitioner
221 TECHNOLOGY PKWY NW
NPI: 1457787509

BETSY MCCULLOCH OSBORN

Gerontology Nurse Practitioner
3007 MEMORIAL PKWY SW
NPI: 1821412396

SHELBIE GERKEN DONZE (AGPCNP-BC)

Adult Health Nurse Practitioner
810 SHONEY DR SW
NPI: 1578970216

JOSHUA L NELSON (CRNP)

Gerontology Nurse Practitioner
PO BOX 11407
NPI: 1811396583

MRS. DEBORAH JEAN WAGNER (CRNP)

Gerontology Nurse Practitioner
8010 MEMORIAL PKWY SW
NPI: 1336543974

EMILY CORK (CRNP)

Acute Care Nurse Practitioner
1104 MONROE ST SW
NPI: 1245620236

CHRISTINE MARIE FUSSELL (CRNP)

Gerontology Nurse Practitioner
930 FRANKLIN ST SE
NPI: 1134506181

JENNY SOUTHWOOD (CRNP)

Adult Health Nurse Practitioner
2121 Whitesburg Dr SE
NPI: 1528449816