TANYA F KENNEDY (FNP) – Nurse Practitioner, NPI 1801345574
Nurse Practitioner
Main info
Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
7,017 NURSE PRACTITIONER in MO
Provider Addresses for TANYA F KENNEDY (FNP)
617 LaPlante Dr
Desloge, MO 636013076
Phone: (573) 366-6149
Type: Location
1106 HAZEL LN
FARMINGTON, MO 636401999
Phone: (573) 756-6751
Fax: (573) 756-6807
Type: Location
617, Laplante Drive, Cantwell, Desloge, St. Francois County, Missouri, 63601, United States
DESLOGE, MO 636013076
Phone: (573) 366-6149
Type: Mailing
PO BOX 957683
SAINT LOUIS, MO 631957683
Phone: (573) 366-6149
Fax: (573) 756-6807
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 13 Open Payments records for all available years, with a total value of $288.
Total Amount is formed as General ($288) + Research ($0) + Ownership ($0) = $288.
Last reported payment date: 2024-11-01 • Largest payer in this snapshot: Pacira Pharmaceuticals Incorporated ($71).
Total Amount
$288
General + Research + Ownership
Payments
13
Total payment records
General Amount
$288
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-01
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Pacira Pharmaceuticals Incorporated | $71 |
| Kowa Pharmaceuticals America, Inc. | $55 |
| FX Shoulder USA, Inc | $54 |
| Amgen Inc. | $51 |
| ABBVIE INC. | $38 |
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: 2016-11-17
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20161117001071 | I | Nurse Practitioner | MO | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| J0702 | Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg | 96 | 39 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 75 | 59 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 32 | 32 | $0 |
| 20610 | Aspiration and/or injection of fluid from large joint | 30 | 23 | $0 |
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 18 | 18 | $0 |
Insurance plans in this area (ZIP 63601)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| O B S T E T R I C S/ G Y N E C O L O G Y | MO | |
| Nurse Practitioner | MO | |
| - | MO | |
| Internal Medicine | TX | |
| Nurse Practitioner | MO | |
| Nurse Practitioner | MO | |
| Nurse Practitioner | MO | |
| Nurse Practitioner | MO | |
| Nurse Practitioner | MO | |
| Nurse Practitioner | MO |
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