MS. KERRY MARIE KENNEDY (PMHNP) – Psychiatric/Mental Health Nurse Practitioner, NPI 1083949986

MS. KERRY MARIE KENNEDY (PMHNP) is a healthcare provider. based in Oakdale, Minnesota. specializing in NURSE PRACTITIONER. They hold the professional credentials PMHNP. They hold a License No. R123669 (MN). The NPI Number for MS. KERRY MARIE KENNEDY (PMHNP) is 1083949986

Main info

Female
17 Years Of Experience
Accepts Medicare Assignment
Name
MS. KERRY MARIE KENNEDY (PMHNP)
NPI
1083949986
Phone
(651) 251-5044
Address
7066 STILLWATER BLVD N
Enumeration Date
9 October 2009
Last Update Date
26 January 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6517775222
Graduation Year
2009 (17 years ago)
PAC ID
3870635386
Group Practice PAC ID
8729073978
Professional Enrollment ID
I20100121000740
Address ID
MN551283937OA7066XBLVD400
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience65
Completeness75
Years active:16State licenses:2Digital endpointsOther names

5,720 NURSE PRACTITIONER in MN

Provider Addresses for MS. KERRY MARIE KENNEDY (PMHNP)

  • 7066 STILLWATER BLVD N

    OAKDALE, MN 551283937

    Phone: (651) 251-5044

    Fax: (651) 251-5128

    Type: Mailing

  • 610, Florence Avenue, Owatonna, Steele County, Minnesota, 55060, United States

    OWATONNA, MN 550604704

    Phone: (507) 451-2630

    Type: Mailing

  • Owatonna Hospital, 2250, Northwest 26th Street, Owatonna, Steele County, Minnesota, 55060, United States

    OWATONNA HOSPITAL

    OWATONNA, MN 55060

    Phone: (507) 455-7644

    Fax: (507) 444-6053

    Type: Location

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 $18.

Total Amount is formed as General ($18) + Research ($0) + Ownership ($0) = $18.

Last reported payment date: 2023-11-01 • Largest payer in this snapshot: Teva Pharmaceuticals USA, Inc. ($18).

Total Amount

$18

General + Research + Ownership

Payments

1

Total payment records

General Amount

$18

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-11-01

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: 2010-01-21

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
I20100121000740INurse PractitionerMNTBD

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
99215Established patient office or other outpatient visit, 40-54 minutes18230$0
G2212Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or14319$0
View full utilization report →

Insurance plans in this area (ZIP 55128)

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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: 8729073978View full group profile
NameSpecialtyState
Nurse PractitionerCO
Mental Health CounselorMN
Mental Health CounselorMN
Clinical PsychologistMN
Mental Health CounselorMN
Clinical Social WorkerMN
Clinical Social WorkerMN
Clinical Social WorkerMN
Mental Health CounselorMN
Clinical PsychologistMN

Reviews

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Frequently asked questions

What is the standard ID for MS. KERRY MARIE KENNEDY (PMHNP) in the U.S.?
In the U.S., MS. KERRY MARIE KENNEDY (PMHNP) is identified by NPI 1083949986.
Should I treat MS. KERRY MARIE KENNEDY (PMHNP) as an active provider?
Patients and plans typically see MS. KERRY MARIE KENNEDY (PMHNP) as active in the national extract.
Which specialty label fits MS. KERRY MARIE KENNEDY (PMHNP)?
NPPES ties MS. KERRY MARIE KENNEDY (PMHNP) to Psychiatric/Mental Health Nurse Practitioner in the taxonomy section. Clinical services aligned with this taxonomy classification.
Which community is linked to MS. KERRY MARIE KENNEDY (PMHNP)?
MS. KERRY MARIE KENNEDY (PMHNP) shows a connection to Oakdale, Minnesota in registry-derived data.
Can I export MS. KERRY MARIE KENNEDY (PMHNP)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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