MAURA ANNE KENNEDY (APRN, FNP-C) – Family Nurse Practitioner, NPI 1760253512

MAURA ANNE KENNEDY (APRN, FNP-C) is a healthcare provider. based in Youngstown, Ohio. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN, FNP-C. They hold a License No. APRN.CNP.0035648 (OH). The NPI Number for MAURA ANNE KENNEDY (APRN, FNP-C) is 1760253512

Main info

Female
3 Years Of Experience
Accepts Medicare Assignment
Name
MAURA ANNE KENNEDY (APRN, FNP-C)
NPI
1760253512
Phone
(234) 287-9370
Address
100 DEBARTOLO PL STE 200
Enumeration Date
10 January 2024
Last Update Date
11 February 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3305341959
Graduation Year
2023 (3 years ago)
PAC ID
9436595006
Group Practice PAC ID
2062446743
Professional Enrollment ID
I20240306002545
Address ID
OH444251126HU730XXSTXX400
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness85
Years active:2State licenses:1Digital endpointsOther names

15,061 NURSE PRACTITIONER in OH

Provider Addresses for MAURA ANNE KENNEDY (APRN, FNP-C)

  • 100 DEBARTOLO PL STE 200

    YOUNGSTOWN, OH 445126095

    Phone: (234) 287-9370

    Fax: (330) 534-2206

    Type: Mailing

  • 730 N MAIN ST

    HUBBARD, OH 444251126

    Phone: (234) 287-9370

    Fax: (330) 534-2206

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 50 Open Payments records for all available years, with a total value of $924.

Total Amount is formed as General ($924) + Research ($0) + Ownership ($0) = $924.

Last reported payment date: 2024-12-30 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($243).

Total Amount

$924

General + Research + Ownership

Payments

50

Total payment records

General Amount

$924

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-30

Latest reported date

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: 2024-03-06

PECOS data refreshed: 2026-06-15

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
I20240306002545INurse 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 44512)

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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: 2062446743View full group profile
NameSpecialtyState
Family PracticeOH
-OH
Physician AssistantOH

Reviews

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Frequently asked questions

What federal number belongs to MAURA ANNE KENNEDY (APRN, FNP-C)?
The federal identifier for MAURA ANNE KENNEDY (APRN, FNP-C) is NPI 1760253512.
Is MAURA ANNE KENNEDY (APRN, FNP-C)'s NPI currently valid?
The extract we use shows MAURA ANNE KENNEDY (APRN, FNP-C) as active.
What does MAURA ANNE KENNEDY (APRN, FNP-C) treat or focus on?
Patients typically see MAURA ANNE KENNEDY (APRN, FNP-C) under the specialty Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What location shows for MAURA ANNE KENNEDY (APRN, FNP-C)?
We surface Youngstown, Ohio for MAURA ANNE KENNEDY (APRN, FNP-C) based on available NPPES addresses.
Is MAURA ANNE KENNEDY (APRN, FNP-C) a real provider?
This page reflects official NPPES data for NPI 1760253512. Always confirm identity and privileges with the practice and licensing boards.

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