MRS. AMANDA LAUREN KENNEDY (AGACNP-BC) – Acute Care Nurse Practitioner, NPI 1063937696

MRS. AMANDA LAUREN KENNEDY (AGACNP-BC) is a healthcare provider. based in Batavia, Ohio. specializing in NURSE PRACTITIONER. They hold the professional credentials AGACNP-BC. They hold a License No. APRN.CNP.021254 (OH). The NPI Number for MRS. AMANDA LAUREN KENNEDY (AGACNP-BC) is 1063937696

Main info

Female
9 Years Of Experience
Accepts Medicare Assignment
Name
MRS. AMANDA LAUREN KENNEDY (AGACNP-BC)
NPI
1063937696
Phone
(513) 917-9697
Address
4615 NORTHRIDGE DR
Enumeration Date
4 August 2017
Last Update Date
18 November 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8479200902
Graduation Year
2017 (9 years ago)
PAC ID
4688905623
Group Practice PAC ID
5092881417
Professional Enrollment ID
I20250108000610
Address ID
KY410943522WA415XXLNXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience49
Completeness75
Years active:8State licenses:2Digital endpointsOther names

14,984 NURSE PRACTITIONER in OH

Provider Addresses for MRS. AMANDA LAUREN KENNEDY (AGACNP-BC)

  • 4615 NORTHRIDGE DR

    BATAVIA, OH 451031385

    Phone: (513) 917-9697

    Fax: (513) 901-8068

    Type: Mailing

  • 3824 GATEWOOD DR

    CINCINNATI, OH 452452709

    Phone: (513) 917-9697

    Fax: (513) 901-8068

    Type: Mailing

  • 3000 McGee Ave

    Middletown, OH 450444991

    Phone: (513) 917-9697

    Type: Location

  • 126 Wilson Dr

    Xenia, OH 453851848

    Phone: (513) 917-9697

    Type: Location

  • 425 Lauricella Ct

    Englewood, OH 45322

    Phone: (513) 917-9697

    Type: Location

  • 4960 Old U.S. 35

    Jamestown, OH 45335

    Phone: (513) 917-9697

    Type: Location

  • 700 Monroe Rd

    Lebanon, OH 450361409

    Phone: (513) 917-9697

    Type: Location

  • 3434 OH-132

    Amelia, OH 45102

    Phone: (513) 917-9697

    Type: Location

  • 12745 Elm Corner Rd

    Williamsburg, OH 451769621

    Phone: (513) 917-9697

    Type: Location

  • 230 Cherry St

    Chillicothe, OH 456012301

    Phone: (513) 917-9697

    Type: Location

  • 7300 McEwen Rd

    Dayton, OH 454593903

    Phone: (513) 917-9697

    Type: Location

  • 2250 Banning Rd

    Cincinnati, OH 452396608

    Phone: (513) 917-9697

    Type: Location

  • 11690, Grooms Road, Procter & Gamble Sharon Woods Innovation Center, Sharonville, Sycamore Township, Hamilton County, Ohio, 45242, United States

    BLUE ASH, OH 452421412

    Phone: (513) 917-9697

    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 $20.

Total Amount is formed as General ($20) + Research ($0) + Ownership ($0) = $20.

Last reported payment date: 2024-05-23 • Largest payer in this snapshot: Otsuka America Pharmaceutical, Inc. ($20).

Total Amount

$20

General + Research + Ownership

Payments

1

Total payment records

General Amount

$20

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-05-23

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: 2025-01-08

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20191007000596INurse PractitionerOHTBD
I20250108000610INurse PractitionerKYTBD

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
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes1,273226$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes126113$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes7540$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes1515$0
View full utilization report →

Insurance plans in this area (ZIP 45103)

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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: 5092881417View full group profile
NameSpecialtyState
Nurse PractitionerIL
Nurse PractitionerIN
Nurse PractitionerMI
Pulmonary Disease, Internal MedicineIL
Nurse PractitionerIL
Nurse PractitionerIL
Nurse PractitionerIL
-IL
Nurse PractitionerIL
Internal Medicine, Family PracticeIN

Reviews

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Frequently asked questions

Can I verify MRS. AMANDA LAUREN KENNEDY (AGACNP-BC) with an NPI only?
You can start verification with NPI 1063937696 for MRS. AMANDA LAUREN KENNEDY (AGACNP-BC), then check state licensing separately.
Does the file indicate MRS. AMANDA LAUREN KENNEDY (AGACNP-BC) is practicing under active NPI?
Directory data currently reports MRS. AMANDA LAUREN KENNEDY (AGACNP-BC) as active.
What healthcare role does MRS. AMANDA LAUREN KENNEDY (AGACNP-BC) hold?
Scheduling teams often label MRS. AMANDA LAUREN KENNEDY (AGACNP-BC) under Acute Care Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Does MRS. AMANDA LAUREN KENNEDY (AGACNP-BC) list a practice location?
Patients near Batavia, Ohio may find MRS. AMANDA LAUREN KENNEDY (AGACNP-BC) in results; validate coverage separately.
How many locations tie to this NPI?
13 practice locations appear in the available data.

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