RACHEL GALE KENNEDY (NURSE PRACTITIONER) – Family Medicine Physician, NPI 1780078576

RACHEL GALE KENNEDY (NURSE PRACTITIONER) is a healthcare provider. based in Flint, Michigan. specializing in Family Medicine Physician. They hold the professional credentials NURSE PRACTITIONER. They hold a License No. 4704285802 (MI). The NPI Number for RACHEL GALE KENNEDY (NURSE PRACTITIONER) is 1780078576

Main info

Female
Sole Proprietor
12 Years Of Experience
Accepts Medicare Assignment
Name
RACHEL GALE KENNEDY (NURSE PRACTITIONER)
NPI
1780078576
Phone
(810) 309-9734
Address
G3494 BEECHER RD
Enumeration Date
19 March 2015
Last Update Date
21 July 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8103099734
Graduation Year
2014 (12 years ago)
PAC ID
0648584359
Group Practice PAC ID
6002183837
Professional Enrollment ID
I20150807014489
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience36
Completeness75
Years active:11State licenses:1Digital endpointsOther names

Provider Addresses for RACHEL GALE KENNEDY (NURSE PRACTITIONER)

  • G3494 BEECHER RD

    FLINT, MI 485322735

    Phone: (810) 309-9734

    Fax: (810) 768-1171

    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 5 Open Payments records for all available years, with a total value of $83.

Total Amount is formed as General ($83) + Research ($0) + Ownership ($0) = $83.

Last reported payment date: 2024-03-08 • Largest payer in this snapshot: Axsome Therapeutics, Inc. ($36).

Total Amount

$83

General + Research + Ownership

Payments

5

Total payment records

General Amount

$83

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-03-08

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: 2015-08-07

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
I20150807014489INurse 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 minutes13043$0
96372Injection of drug or substance under skin or into muscle1911$0
View full utilization report →

Insurance plans in this area (ZIP 48532)

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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: 6002183837View full group profile

Reviews

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Frequently asked questions

What NPI should I save for RACHEL GALE KENNEDY (NURSE PRACTITIONER)?
Save NPI 1780078576 if you need a stable reference for RACHEL GALE KENNEDY (NURSE PRACTITIONER).
Is RACHEL GALE KENNEDY (NURSE PRACTITIONER)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Can you summarize RACHEL GALE KENNEDY (NURSE PRACTITIONER)'s specialty in plain language?
Clinically, the directory lists RACHEL GALE KENNEDY (NURSE PRACTITIONER) with Family Medicine Physician. Clinical services aligned with this taxonomy classification.
What location metadata exists for RACHEL GALE KENNEDY (NURSE PRACTITIONER)?
The page summarizes Flint, Michigan for RACHEL GALE KENNEDY (NURSE PRACTITIONER); expand the address list for detail.
Is RACHEL GALE KENNEDY (NURSE PRACTITIONER) a real provider?
This page reflects official NPPES data for NPI 1780078576. Always confirm identity and privileges with the practice and licensing boards.

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