MS. JEANETTE NICOLE KENNEDY (DNP, APRN-NP,FNP-C) – Medical-Surgical Registered Nurse, NPI 1609042928
Medical-Surgical Registered Nurse
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,112 NURSE PRACTITIONER in NE
Provider Addresses for MS. JEANETTE NICOLE KENNEDY (DNP, APRN-NP,FNP-C)
2802 COMSTOCK PLZ APT F
BELLEVUE, NE 681236516
Phone: (402) 515-9735
Type: Mailing
South 96th Court, Millard, Omaha, Douglas County, Nebraska, 68127, United States
OMAHA, NE 681273386
Phone: (216) 288-6571
Type: Mailing
5444 Westheimer Rd Ste 1000
Houston, TX 770565318
Phone: (830) 433-6318
Type: Location
9717 HICKORY KNOB DR
FT WORTH, TX 761081461
Phone: (402) 515-9735
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2025-10-30
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 10 Medicare enrollment records; no due dates published yet.
Enrollment records
10
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 |
|---|---|---|---|---|
| I20210730003001 | I | Nurse Practitioner | OH | TBD |
| I20230516000781 | I | Nurse Practitioner | TX | TBD |
| I20231201000504 | I | Nurse Practitioner | NV | TBD |
| I20240410004067 | I | Nurse Practitioner | VA | TBD |
| I20240514003460 | I | Nurse Practitioner | NY | TBD |
| I20250303002396 | I | Nurse Practitioner | MD | TBD |
| I20250616000160 | I | Nurse Practitioner | DC | TBD |
| I20250924000097 | I | Nurse Practitioner | NM | TBD |
| I20251015002214 | I | Nurse Practitioner | AZ | TBD |
| I20251030003400 | I | Nurse Practitioner | IN | 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 68123)
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