IRINA KIM KENNEDY (NP) – Family Nurse Practitioner, NPI 1598496937
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
10,664 NURSE PRACTITIONER in TN
Provider Addresses for IRINA KIM KENNEDY (NP)
PO BOX 7411009
CHICAGO, IL 606743009
Phone: (609) 585-1122
Fax: (606) 585-0309
Type: Mailing
1 MEDICAL CENTER BLVD
COOKEVILLE, TN 385014294
Phone: (609) 585-1122
Fax: (609) 585-0309
Type: Location
31111 CYPRESS PASTURE TRL
HOCKLEY, TX 774473134
Phone: (832) 416-3826
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $100.
Total Amount is formed as General ($100) + Research ($0) + Ownership ($0) = $100.
Last reported payment date: 2024-04-15 • Largest payer in this snapshot: Grifols USA, LLC ($100).
Total Amount
$100
General + Research + Ownership
Payments
1
Total payment records
General Amount
$100
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-04-15
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Grifols USA, LLC | $100 |
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: 2025-08-22
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 3 Medicare enrollment records; no due dates published yet.
Enrollment records
3
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 |
|---|---|---|---|---|
| I20230628003603 | I | Nurse Practitioner | NY | TBD |
| I20240409000237 | I | Nurse Practitioner | TX | TBD |
| I20250822003254 | I | Nurse Practitioner | TN | 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 60674)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | TN | |
| Emergency Medicine | WV | |
| Emergency Medicine | PA | |
| Emergency Medicine | MI | |
| Nurse Practitioner | TN | |
| Emergency Medicine | TN | |
| Emergency Medicine | TN | |
| Nurse Practitioner | TN | |
| Emergency Medicine | TN | |
| Emergency Medicine, Dermatology | MS |
Reviews
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