MRS. CAROL LYNN KENNEDY (APRN) – Family Nurse Practitioner, NPI 1194119016
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,299 NURSE PRACTITIONER in OK
Provider Addresses for MRS. CAROL LYNN KENNEDY (APRN)
1405 S CZECH HALL RD
MUSTANG, OK 730642901
Phone: (405) 401-8535
Type: Mailing
1212 REYNOLDS AVE
POTEAU, OK 749534724
Phone: (918) 649-0172
Type: Location
1212 Reynolds Ave
Poteau, OK 749534724
Phone: (918) 649-0172
Type: Location
2701 W UNIVERSITY BLVD
DURANT, OK 747012997
Phone: (580) 740-4053
Fax: (877) 725-8976
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 8 Open Payments records for all available years, with a total value of $220.
Total Amount is formed as General ($220) + Research ($0) + Ownership ($0) = $220.
Last reported payment date: 2024-02-08 • Largest payer in this snapshot: ABBVIE INC. ($204).
Total Amount
$220
General + Research + Ownership
Payments
8
Total payment records
General Amount
$220
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-02-08
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $204 |
| Otsuka America Pharmaceutical, Inc. | $16 |
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: 2023-09-28
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20151118000157 | I | Nurse Practitioner | OK | TBD |
| I20230928000462 | I | Nurse Practitioner | AR | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99308 | Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes | 1,315 | 189 | $0 |
| 99306 | Initial nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes | 134 | 134 | $0 |
| 90833 | Psychotherapy with evaluation and management visit, 30 minutes | 108 | 18 | $0 |
| 99309 | Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes | 104 | 68 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 94 | 19 | $0 |
Insurance plans in this area (ZIP 73064)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| NURSE PRACTITIONER | OK | 90833 | Psychotherapy, 30 minutes with patient and/or family member | 740 | 224 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Mental Health Counselor | OK | |
| Mental Health Counselor | OK | |
| Mental Health Counselor | OK | |
| Clinical Social Worker | OK | |
| Mental Health Counselor | OK | |
| Clinical Social Worker | OK | |
| Mental Health Counselor | OK | |
| Mental Health Counselor | OK | |
| Mental Health Counselor | OK | |
| Clinical Social Worker | OK |
Reviews
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