PAMELA KENNEDY (CRNA) – Certified Registered Nurse Anesthetist, NPI 1629061627

PAMELA KENNEDY (CRNA) is a healthcare provider. based in Mason, Ohio. specializing in Certified Registered Nurse Anesthetist. They hold the professional credentials CRNA. They hold a License No. 126547 (OH). The NPI Number for PAMELA KENNEDY (CRNA) is 1629061627

Main info

Female
53 Years Of Experience
Accepts Medicare Assignment
Name
PAMELA KENNEDY (CRNA)
NPI
1629061627
Phone
(513) 204-5696
Address
4549 RAYNOR COURT
Enumeration Date
24 August 2005
Last Update Date
4 February 2016

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5133663400
Graduation Year
1973 (53 years ago)
PAC ID
9335229244
Group Practice PAC ID
1456431162
Professional Enrollment ID
I20080104000398
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

Provider Addresses for PAMELA KENNEDY (CRNA)

  • 4549, Raynor Court, The Links at Heritage Club, Mason, Warren County, Ohio, 45040, United States

    OUTPATIENT ANESTHESIA SPECIALISTS

    MASON, OH 45040

    Phone: (513) 204-5696

    Fax: (877) 284-4283

    Type: Mailing

  • 2000 JOSEPH E. SANKER BOULEVARD

    THE UROLOGY CENTER

    CINCINNATI, OH 45212

    Phone: (513) 841-7600

    Fax: (513) 841-7601

    Type: Location

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: 2008-01-04

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
I20080104000398ICertified Registered Nurse Anesthetist (Crna)OHTBD

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
00910Anesthesia for other procedure on urinary system through urethra2828$0
00902Anesthesia for procedure on anus and rectum1616$0
View full utilization report →

Insurance plans in this area (ZIP 45040)

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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: 1456431162View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)OH
-OH
-OH
Certified Registered Nurse Anesthetist (Crna)OH
Certified Registered Nurse Anesthetist (Crna)OH
-OH
-OH
A N E S T H E S I O L O G YOH
Certified Registered Nurse Anesthetist (Crna)KY
-OH

Reviews

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Frequently asked questions

Can I use this page to confirm PAMELA KENNEDY (CRNA)'s NPI?
Yes. PAMELA KENNEDY (CRNA) is listed with NPI 1629061627 in the public NPI dataset.
Is PAMELA KENNEDY (CRNA) still practicing?
PAMELA KENNEDY (CRNA) is currently listed as active in the public NPI registry.
What is PAMELA KENNEDY (CRNA)'s specialty?
The listing groups PAMELA KENNEDY (CRNA) with Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.
Where should I expect PAMELA KENNEDY (CRNA) on a map?
Expect Mason, Ohio as a primary anchor for PAMELA KENNEDY (CRNA) unless the record lists multiple sites.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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