KRISTIANA KENNEY – Acute Care Nurse Practitioner, NPI 1407654262

KRISTIANA KENNEY is a healthcare provider. based in Lake mary, Florida. specializing in NURSE PRACTITIONER. They hold a License No. RN9469872 (FL). The NPI Number for KRISTIANA KENNEY is 1407654262

Main info

Female
1 Year Of Experience
Accepts Medicare Assignment
Name
KRISTIANA KENNEY
NPI
1407654262
Phone
(407) 712-4010
Address
295 STRATFORD CT
Enumeration Date
6 March 2025
Last Update Date
23 October 2025

Doctor Profile

Medical School Name
UNIVERSITY OF SOUTH FLORIDA COLLEGE OF MEDICINE
Secondary Phone
4072002700
Graduation Year
2025 (1 year ago)
PAC ID
0547758260
Group Practice PAC ID
0749186153
Professional Enrollment ID
I20251023002206
Address ID
FL327517102MA2600XLNXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience35
Completeness85
Years active:1State licenses:2Digital endpointsOther names

24,232 NURSE PRACTITIONER in FL

Provider Addresses for KRISTIANA KENNEY

  • 295 STRATFORD CT

    LAKE MARY, FL 327463904

    Phone: (407) 712-4010

    Type: Mailing

  • 2501 N ORANGE AVE STE 401

    ORLANDO, FL 328044644

    Phone: (407) 303-7283

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2025-10-23

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
I20251023002206INurse 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 32746)

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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

What unique ID ties claims to KRISTIANA KENNEY?
NPI 1407654262 is assigned to KRISTIANA KENNEY under the national enumeration system.
Is KRISTIANA KENNEY's enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Does KRISTIANA KENNEY list a primary specialty?
If you are matching referrals, note Acute Care Nurse Practitioner for KRISTIANA KENNEY. Clinical services aligned with this taxonomy classification.
Where does public data place KRISTIANA KENNEY?
The snapshot lists Lake Mary, Florida for KRISTIANA KENNEY; download NPPES for the complete set.
What if Lake Mary, Florida seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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