KALEENA KENNY (ANP) – Nurse Practitioner, NPI 1124537964

KALEENA KENNY (ANP) is a healthcare provider. based in Old bridge, New Jersey. specializing in NURSE PRACTITIONER. They hold the professional credentials ANP. They hold a License No. 26NJ00756300 (NJ). The NPI Number for KALEENA KENNY (ANP) is 1124537964

Main info

Female
Sole Proprietor
9 Years Of Experience
Accepts Medicare Assignment
Name
KALEENA KENNY (ANP)
NPI
1124537964
Phone
(732) 679-9950
Address
26 THROCKMORTON LN
Enumeration Date
25 September 2017
Last Update Date
21 July 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7325711000
Graduation Year
2017 (9 years ago)
PAC ID
1951661388
Group Practice PAC ID
2961836069
Professional Enrollment ID
I20180205000398
Address ID
NJ077532645NE3600X66XX402
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience35
Completeness75
Years active:8State licenses:1Digital endpointsOther names

7,515 NURSE PRACTITIONER in NJ

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Provider Addresses for KALEENA KENNY (ANP)

  • 26, Throckmorton Lane, Browntown, Old Bridge, Old Bridge Township, Middlesex County, New Jersey, 08857, United States

    OLD BRIDGE, NJ 088572520

    Phone: (732) 679-9950

    Fax: (732) 679-9956

    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)

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: 2018-02-05

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
I20180205000398INurse PractitionerNJTBD

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
99349Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes872114$0
90674Influenza vaccine, quadrivalent derived from cell cultures, preservative and antibiotic free3737$0
G0008Administration of influenza virus vaccine3737$0
69210Removal of impacted ear wax2214$0
View full utilization report →

Insurance plans in this area (ZIP 08857)

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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: 2961836069View full group profile

Reviews

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Frequently asked questions

Does KALEENA KENNY (ANP) have a public NPI I can cite?
Public records show KALEENA KENNY (ANP) under NPI 1124537964.
Should I treat KALEENA KENNY (ANP) as an active provider?
Patients and plans typically see KALEENA KENNY (ANP) as active in the national extract.
What services align with KALEENA KENNY (ANP)'s listing?
KALEENA KENNY (ANP)'s public classification highlights Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Is KALEENA KENNY (ANP) tied to Old Bridge, New Jersey?
If you are local to Old Bridge, New Jersey, KALEENA KENNY (ANP) may be relevant to your search.
Why is information missing for KALEENA KENNY (ANP)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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