MRS. NICOLE DYAN KENNEDY (PA) – Physician Assistant, NPI 1730412958

MRS. NICOLE DYAN KENNEDY (PA) is a healthcare provider. based in Denver, Colorado. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA. They hold a License No. 2841 (CO). The NPI Number for MRS. NICOLE DYAN KENNEDY (PA) is 1730412958

Main info

Female
17 Years Of Experience
Accepts Medicare Assignment
Name
MRS. NICOLE DYAN KENNEDY (PA)
NPI
1730412958
Phone
(303) 777-3333
Address
850 EAST HARVARD AVENUE
Enumeration Date
8 September 2009
Last Update Date
7 October 2009

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7206960852
Graduation Year
2009 (17 years ago)
PAC ID
7911044813
Group Practice PAC ID
5597170969
Professional Enrollment ID
I20091026000673
Address ID
CO801243115LO9777XSTXX403
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience46
Completeness75
Years active:16State licenses:1Digital endpointsOther names

4,161 PHYSICIAN ASSISTANT in CO

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Provider Addresses for MRS. NICOLE DYAN KENNEDY (PA)

  • Harvard Park Medical Plaza 850 Building, 850, East Harvard Avenue, Rosedale, Denver, Colorado, 80210, United States

    SUITE 285

    DENVER, CO 80210

    Phone: (303) 777-3333

    Fax: (303) 733-4441

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 26 Open Payments records for all available years, with a total value of $480.

Total Amount is formed as General ($480) + Research ($0) + Ownership ($0) = $480.

Last reported payment date: 2024-11-28 • Largest payer in this snapshot: Boehringer Ingelheim Pharmaceuticals, Inc. ($263).

Total Amount

$480

General + Research + Ownership

Payments

26

Total payment records

General Amount

$480

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-28

Latest reported date

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: 2009-10-26

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
I20091026000673IPhysician AssistantCOTBD

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
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes3417$0
View full utilization report →

Insurance plans in this area (ZIP 80210)

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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: 5597170969View full group profile
NameSpecialtyState
N E P H R O L O G YCO
Nurse PractitionerMO
N E P H R O L O G YCO
Nephrology, Internal Medicine, HospitalistCO
Physician AssistantCO
Nephrology, Internal MedicineCO
Nurse PractitionerKS
Nurse PractitionerGA
Nurse PractitionerKS
N E P H R O L O G YCO

Reviews

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Frequently asked questions

What is MRS. NICOLE DYAN KENNEDY (PA)'s NPI number?
MRS. NICOLE DYAN KENNEDY (PA)'s NPI is 1730412958 — the number used across U.S. healthcare to identify this provider.
Active or inactive — what applies to MRS. NICOLE DYAN KENNEDY (PA)?
You should see MRS. NICOLE DYAN KENNEDY (PA) as active in CMS-hosted NPPES data.
What kind of doctor is MRS. NICOLE DYAN KENNEDY (PA)?
MRS. NICOLE DYAN KENNEDY (PA) is associated with Physician Assistant in the directory — Clinical services aligned with this taxonomy classification.
Where in Colorado is MRS. NICOLE DYAN KENNEDY (PA) registered?
Use Denver, Colorado as the headline location for MRS. NICOLE DYAN KENNEDY (PA) here.
Can I trust this NPI listing for MRS. NICOLE DYAN KENNEDY (PA)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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