MRS. LISA MICHELLE KENNEDY (NP) – Family Nurse Practitioner, NPI 1114500279

MRS. LISA MICHELLE KENNEDY (NP) is a healthcare provider. based in Woodsboro, Texas. specializing in NURSE PRACTITIONER. They hold the professional credentials NP. They hold a License No. 1025400 (TX). The NPI Number for MRS. LISA MICHELLE KENNEDY (NP) is 1114500279

Main info

Female
6 Years Of Experience
Accepts Medicare Assignment
Name
MRS. LISA MICHELLE KENNEDY (NP)
NPI
1114500279
Phone
(361) 543-7018
Address
PO BOX 1151
Enumeration Date
5 May 2021
Last Update Date
18 May 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5413883978
Graduation Year
2020 (6 years ago)
PAC ID
6608260914
Group Practice PAC ID
5597190645
Professional Enrollment ID
I20220303000016
Address ID
TX775053959PA4500XSXXX601
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness75
Years active:5State licenses:1Digital endpointsOther names

22,204 NURSE PRACTITIONER in TX

Provider Addresses for MRS. LISA MICHELLE KENNEDY (NP)

  • PO BOX 1151

    WOODSBORO, TX 783931151

    Phone: (361) 543-7018

    Type: Mailing

  • 108 WRANOSKY RD

    WOODSBORO, TX 78393

    Phone: (361) 543-7018

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

CMS reports 28 Open Payments records for all available years, with a total value of $474.

Total Amount is formed as General ($474) + Research ($0) + Ownership ($0) = $474.

Last reported payment date: 2024-07-09 • Largest payer in this snapshot: ABBVIE INC. ($158).

Total Amount

$474

General + Research + Ownership

Payments

28

Total payment records

General Amount

$474

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-07-09

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: 2022-03-03

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
I20220303000016INurse PractitionerTXTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes2321$0
96372Injection of drug or substance under skin or into muscle1713$0
View full utilization report →

Insurance plans in this area (ZIP 78393)

Loading plans...

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: 5597190645View full group profile
NameSpecialtyState
Nurse PractitionerTX
-TX
Nurse PractitionerTX
Nurse PractitionerTX
Nurse PractitionerTX
Nurse PractitionerTX
Nurse PractitionerTX
Family PracticeTX
N E U R O L O G YTX
A N E S T H E S I O L O G YTX

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

Can I verify MRS. LISA MICHELLE KENNEDY (NP) with an NPI only?
You can start verification with NPI 1114500279 for MRS. LISA MICHELLE KENNEDY (NP), then check state licensing separately.
Is MRS. LISA MICHELLE KENNEDY (NP) listed as active for patients and plans?
The listing shows MRS. LISA MICHELLE KENNEDY (NP) as active in the NPI system.
What taxonomy line describes MRS. LISA MICHELLE KENNEDY (NP)?
For research purposes, treat MRS. LISA MICHELLE KENNEDY (NP) as Family Nurse Practitioner in this dataset. Clinical services aligned with this taxonomy classification.
Where should I expect MRS. LISA MICHELLE KENNEDY (NP) on a map?
Expect Woodsboro, Texas as a primary anchor for MRS. LISA MICHELLE KENNEDY (NP) unless the record lists multiple sites.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

Similar Providers

MS. BERTHA E. ARENAS (FNP)

Family Nurse Practitioner
1702, North Alamo Street, Pearl, San Antonio, Bexar County, Texas, 78215, United States
NPI: 1598768541
7 DOCK HILL RD
NPI: 1023011210

Unknown Individual

Family Nurse Practitioner
2501, West William Cannon Drive, Cherry Meadows, Austin, Travis County, Texas, 78745, United States of America
NPI: 1568465581

SANDRA RIBBECK (FNP-C)

Family Nurse Practitioner
2501, West William Cannon Drive, Cherry Meadows, Austin, Travis County, Texas, 78745, United States
NPI: 1902809163