MR. MICHAEL DEE KENNEDY (ARNP) – Primary Care Nurse Practitioner, NPI 1235386004
Primary Care Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
24,232 NURSE PRACTITIONER in FL
Provider Addresses for MR. MICHAEL DEE KENNEDY (ARNP)
3120 SOUTHRIDE LANE
BONIFAY, FL 32425
Phone: (850) 547-4440
Fax: (850) 547-4441
Type: Location
3120 SOUTHRIDE LN
BONIFAY, FL 324253325
Phone: (850) 547-4440
Fax: (850) 547-4441
Type: Mailing
2910 Hospital Dr Ste A
Bonifay, FL 324254268
Phone: (850) 547-8118
Fax: (850) 547-8090
Type: Location
1360 BRICKYARD RD
CHIPLEY, FL 324286303
Phone: (850) 638-1610
Fax: (850) 415-8187
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
CMS reports 10 Open Payments records for all available years, with a total value of $279.
Total Amount is formed as General ($279) + Research ($0) + Ownership ($0) = $279.
Last reported payment date: 2024-11-12 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($178).
Total Amount
$279
General + Research + Ownership
Payments
10
Total payment records
General Amount
$279
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-12
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2011-08-24
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20110824000311 | I | Nurse Practitioner | FL | TBD |
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.
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 32425)
Loading plans...
Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| NURSE PRACTITIONER | FL | 81002 | Urinalysis, manual test | 30 | 23 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Diagnostic Radiology, Interventional Radiology, Interventional Radiology | IL | |
| Certified Registered Nurse Anesthetist (Crna) | AL | |
| Certified Registered Nurse Anesthetist (Crna) | AL | |
| Nurse Practitioner | FL | |
| Nurse Practitioner | FL | |
| Nurse Practitioner | FL | |
| Family Practice, General Surgery, Emergency Medicine | FL | |
| Nurse Practitioner | FL | |
| Nurse Practitioner | FL | |
| O T O L A R Y N G O L O G Y | FL |
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.