CHAD KENNEDY – Psychiatric/Mental Health Nurse Practitioner, NPI 1366805178

CHAD KENNEDY is a healthcare provider. based in Troy, Ohio. specializing in NURSE PRACTITIONER. They hold a License No. APRN.CNP.019438 (OH). The NPI Number for CHAD KENNEDY is 1366805178

Main info

Male
Sole Proprietor
10 Years Of Experience
Accepts Medicare Assignment
Name
CHAD KENNEDY
NPI
1366805178
Phone
(937) 332-3765
Address
624 SHERWOOD DR
Enumeration Date
30 March 2016
Last Update Date
26 March 2025

Doctor Profile

Medical School Name
WRIGHT STATE UNIVERSITY BOONSHOFT SCHOOL OF MEDICINE
Secondary Phone
9375525598
Graduation Year
2016 (10 years ago)
PAC ID
7315226628
Professional Enrollment ID
I20161109000902
Address ID
OH454244009HU6210XRDXX300
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience53
Completeness75
Years active:10State licenses:2Digital endpointsOther names

14,984 NURSE PRACTITIONER in OH

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Provider Addresses for CHAD KENNEDY

  • 624, Sherwood Drive, Troy, Miami County, Ohio, 45373, United States

    TROY, OH 453736707

    Phone: (937) 332-3765

    Fax: (937) 440-6939

    Type: Mailing

  • John Wayland Highway, Dayton, Rockingham County, Virginia, United States

    DAYTON, OH 454153154

    Phone: (937) 275-1500

    Type: Location

  • 601 ACADIA CT

    TROY, OH 453735416

    Phone: (937) 552-5598

    Fax: (937) 553-0226

    Type: Mailing

  • 110 S STANFIELD RD

    TROY, OH 453733098

    Phone: (937) 552-5598

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 28 Open Payments records for all available years, with a total value of $704.

Total Amount is formed as General ($704) + Research ($0) + Ownership ($0) = $704.

Last reported payment date: 2024-12-16 • Largest payer in this snapshot: ABBVIE INC. ($226).

Total Amount

$704

General + Research + Ownership

Payments

28

Total payment records

General Amount

$704

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-16

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: 2016-11-09

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
I20161109000902INurse PractitionerOHTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 45373)

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Reviews

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Frequently asked questions

What unique ID ties claims to CHAD KENNEDY?
NPI 1366805178 is assigned to CHAD KENNEDY under the national enumeration system.
Does this profile mean CHAD KENNEDY is currently active?
Yes — CHAD KENNEDY appears active in the national provider directory.
Can you summarize CHAD KENNEDY's specialty in plain language?
Clinically, the directory lists CHAD KENNEDY with Psychiatric/Mental Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What location metadata exists for CHAD KENNEDY?
The page summarizes Troy, Ohio for CHAD KENNEDY; expand the address list for detail.
What if Troy, Ohio seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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