MICHELLE DENISE KENNEDY (CRNA) – Certified Registered Nurse Anesthetist, NPI 1487618161

MICHELLE DENISE KENNEDY (CRNA) is a healthcare provider. based in Marietta, Georgia. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. RN159513 (GA). The NPI Number for MICHELLE DENISE KENNEDY (CRNA) is 1487618161

Main info

Female
Sole Proprietor
21 Years Of Experience
Accepts Medicare Assignment
Name
MICHELLE DENISE KENNEDY (CRNA)
NPI
1487618161
Phone
(478) 733-8129
Address
599 LULLINGSTONE DR SE
Enumeration Date
12 April 2006
Last Update Date
2 September 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7709299033
Graduation Year
2005 (21 years ago)
PAC ID
8325052814
Group Practice PAC ID
6406035583
Professional Enrollment ID
I20060206000034
Address ID
GA301061110AU3870XDRXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness85
Years active:20State licenses:1Digital endpointsOther names

1,710 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in GA

Provider Addresses for MICHELLE DENISE KENNEDY (CRNA)

  • 599 LULLINGSTONE DR SE

    MARIETTA, GA 300672716

    Phone: (478) 733-8129

    Type: Mailing

  • 3300 OVERTON PARK DR SE APT 152

    ATLANTA, GA 303392870

    Phone: (478) 733-8129

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 33 Open Payments records for all available years, with a total value of $634.

Total Amount is formed as General ($634) + Research ($0) + Ownership ($0) = $634.

Last reported payment date: 2024-10-23 • Largest payer in this snapshot: ABBVIE INC. ($206).

Total Amount

$634

General + Research + Ownership

Payments

33

Total payment records

General Amount

$634

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-23

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: 2006-02-06

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
I20060206000034ICertified Registered Nurse Anesthetist (Crna)GATBD

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
01938Anesthesia for injection, drainage or aspiration procedures on spine or spinal cord of lower back accessed through skin using imaging guidance5447$0
00811Anesthesia for other procedure on large bowel using an endoscope4242$0
01940Anesthesia for nerve destruction procedures on spine or spinal cord of lower back accessed through skin using imaging guidance4040$0
01992Anesthesia for nerve block and injection procedure, prone position3635$0
00731Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope2525$0
View full utilization report →

Insurance plans in this area (ZIP 30067)

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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: 6406035583View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)TN
Certified Registered Nurse Anesthetist (Crna)GA
Certified Registered Nurse Anesthetist (Crna)GA
A N E S T H E S I O L O G YGA
Certified Registered Nurse Anesthetist (Crna)GA
Certified Registered Nurse Anesthetist (Crna)GA
Certified Registered Nurse Anesthetist (Crna)GA
Certified Registered Nurse Anesthetist (Crna)GA
Certified Registered Nurse Anesthetist (Crna)NC
Certified Registered Nurse Anesthetist (Crna)FL

Reviews

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Frequently asked questions

Can I cross-check MICHELLE DENISE KENNEDY (CRNA) using NPI 1487618161?
NPI 1487618161 belongs to MICHELLE DENISE KENNEDY (CRNA); compare other details if you need extra assurance.
Would MICHELLE DENISE KENNEDY (CRNA) appear as active to a payer?
You can treat MICHELLE DENISE KENNEDY (CRNA) as active for directory purposes; confirm clinical privileges separately.
What kind of doctor is MICHELLE DENISE KENNEDY (CRNA)?
MICHELLE DENISE KENNEDY (CRNA) is associated with Certified Registered Nurse Anesthetist in the directory — Clinical services aligned with this taxonomy classification.
Is MICHELLE DENISE KENNEDY (CRNA) located near Marietta?
MICHELLE DENISE KENNEDY (CRNA) currently maps to Marietta, Georgia in this extract.
Does MICHELLE DENISE KENNEDY (CRNA) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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