BETHANY JOY KENNEDY (APRN) – Acute Care Nurse Practitioner, NPI 1003301136

BETHANY JOY KENNEDY (APRN) is a healthcare provider. based in Willimantic, Connecticut. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN. They hold a License No. APRN01804 (RI). The NPI Number for BETHANY JOY KENNEDY (APRN) is 1003301136

Main info

Female
9 Years Of Experience
Accepts Medicare Assignment
Name
BETHANY JOY KENNEDY (APRN)
NPI
1003301136
Phone
(860) 456-9116
Address
112 MANSFIELD AVE
Enumeration Date
1 July 2018
Last Update Date
26 July 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8608898331
Graduation Year
2017 (9 years ago)
PAC ID
1052660545
Group Practice PAC ID
0749170645
Professional Enrollment ID
I20180816000810
Address ID
CT063602740NO326XXSTXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience37
Completeness75
Years active:7State licenses:2Digital endpointsOther names

4,191 NURSE PRACTITIONER in CT

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Provider Addresses for BETHANY JOY KENNEDY (APRN)

  • Windham Hospital, 112, Mansfield Avenue, Willimantic, Windham, Windham County, Connecticut, 06226, United States

    WILLIMANTIC, CT 06226

    Phone: (860) 456-9116

    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 2 Open Payments records for all available years, with a total value of $58.

Total Amount is formed as General ($58) + Research ($0) + Ownership ($0) = $58.

Last reported payment date: 2024-10-18 • Largest payer in this snapshot: ABBVIE INC. ($35).

Total Amount

$58

General + Research + Ownership

Payments

2

Total payment records

General Amount

$58

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-18

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
ABBVIE INC.$35
Eisai Inc.$24
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: 2018-08-16

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
I20180816000810INurse PractitionerCTTBD

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
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes308292$0
99238Hospital discharge day management, 30 minutes or less1515$0
View full utilization report →

Insurance plans in this area (ZIP 06226)

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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: 0749170645View full group profile
NameSpecialtyState
Emergency MedicineRI
P S Y C H I A T R YMA
Hematology/Oncology, Medical OncologyNJ
Physician AssistantME
Hospitalist, Internal MedicineNY
Physician AssistantCT
Physician AssistantGA
Internal MedicineCT
Physician AssistantRI
Physician AssistantMA

Reviews

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Frequently asked questions

Where can patients find BETHANY JOY KENNEDY (APRN)'s NPI?
You can confirm BETHANY JOY KENNEDY (APRN) with NPI 1003301136; it appears in the national provider directory.
Is BETHANY JOY KENNEDY (APRN) currently active in the NPI registry?
CMS-published data lists BETHANY JOY KENNEDY (APRN) as an active registrant.
What kind of provider is BETHANY JOY KENNEDY (APRN)?
The page reflects Acute Care Nurse Practitioner for BETHANY JOY KENNEDY (APRN). Clinical services aligned with this taxonomy classification.
Where is BETHANY JOY KENNEDY (APRN)'s primary listing?
We display Willimantic, Connecticut because that is what the record indicates for BETHANY JOY KENNEDY (APRN).
What if Willimantic, Connecticut seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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