EMILEE KENNEDY (ANP-BC) – Adult Health Nurse Practitioner, NPI 1255665220

EMILEE KENNEDY (ANP-BC) is a healthcare provider. based in Harbor springs, Michigan. specializing in NURSE PRACTITIONER. They hold the professional credentials ANP-BC. They hold a License No. 4704231427 (MI). The NPI Number for EMILEE KENNEDY (ANP-BC) is 1255665220

Main info

Female
17 Years Of Experience
Accepts Medicare Assignment
Name
EMILEE KENNEDY (ANP-BC)
NPI
1255665220
Phone
(231) 347-5400
Address
8881 M 119
Enumeration Date
23 September 2009
Last Update Date
4 January 2022

Doctor Profile

Medical School Name
MICHIGAN STATE UNIVERSITY COLLEGE OF HUMAN MEDICINE
Secondary Phone
2313475400
Graduation Year
2009 (17 years ago)
PAC ID
1254473291
Group Practice PAC ID
8820277015
Professional Enrollment ID
I20100128000680
Address ID
MI497409586HA8881XMXXX201
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience56
Completeness75
Years active:16State licenses:1Digital endpointsOther names

8,161 NURSE PRACTITIONER in MI

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Provider Addresses for EMILEE KENNEDY (ANP-BC)

  • Harbor Springs-Petoskey Road, Wequetonsing, Harbor Springs, Little Traverse Township, Emmet County, Michigan, 79740, United States

    HARBOR SPRINGS, MI 497409586

    Phone: (231) 347-5400

    Fax: (231) 348-2515

    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 21 Open Payments records for all available years, with a total value of $378.

Total Amount is formed as General ($378) + Research ($0) + Ownership ($0) = $378.

Last reported payment date: 2024-08-20 • Largest payer in this snapshot: ABBVIE INC. ($130).

Total Amount

$378

General + Research + Ownership

Payments

21

Total payment records

General Amount

$378

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-08-20

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2010-01-28

PECOS data refreshed: 2026-06-15

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
I20100128000680INurse PractitionerMITBD

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
99214Established patient office or other outpatient visit, 30-39 minutes392158$0
99213Established patient office or other outpatient visit, 20-29 minutes16095$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit7474$0
83036Hemoglobin a1c level7334$0
81003Automated urinalysis test3318$0
View full utilization report →

Insurance plans in this area (ZIP 49740)

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Provider's Procedures

EMILEE KENNEDY (ANP-BC) performs procedures in NURSE PRACTITIONER. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
NURSE PRACTITIONERMI83036Hemoglobin A1C level4821

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: 8820277015View full group profile
NameSpecialtyState
Cardiovascular Disease (Cardiology), Internal MedicineMI
Family PracticeMI
-MI
Interventional Cardiology, Cardiovascular Disease (Cardiology)MI
-MI
-MI
Certified Registered Nurse Anesthetist (Crna)MI
Internal MedicineMI
Physician AssistantMI
Family PracticeMI

Reviews

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Frequently asked questions

What NPI should I save for EMILEE KENNEDY (ANP-BC)?
Save NPI 1255665220 if you need a stable reference for EMILEE KENNEDY (ANP-BC).
Is EMILEE KENNEDY (ANP-BC) currently active in the NPI registry?
CMS-published data lists EMILEE KENNEDY (ANP-BC) as an active registrant.
What does EMILEE KENNEDY (ANP-BC) treat or focus on?
Patients typically see EMILEE KENNEDY (ANP-BC) under the specialty Adult Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where is EMILEE KENNEDY (ANP-BC)'s primary listing?
We display Harbor Springs, Michigan because that is what the record indicates for EMILEE KENNEDY (ANP-BC).
Is EMILEE KENNEDY (ANP-BC) a real provider?
This page reflects official NPPES data for NPI 1255665220. Always confirm identity and privileges with the practice and licensing boards.

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