DR. CHRISTIE ELAINE KENNEDY (DNP) – Family Nurse Practitioner, NPI 1912179227
Family Nurse Practitioner
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for DR. CHRISTIE ELAINE KENNEDY (DNP)
6098, Copper Drive, Macclenny, Baker County, Florida, 32063, United States
MACCLENNY, FL 320636002
Phone: (904) 397-0923
Type: Mailing
Shands Lake Shore Regional Medical Center, 368, Northeast Franklin Street, Lake City, Columbia County, Florida, 32055, United States
LAKE CITY, FL 32055
Phone: (386) 292-8001
Fax: (386) 292-8002
Type: Location
13576 SW 61ST PLACE RD
OCALA, FL 344814259
Phone: (904) 707-5288
Type: Mailing
4407 NW BLITCHTON RD
OCALA, FL 344824056
Phone: (352) 619-4669
Fax: (364) 303-9797
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 2 Open Payments records for all available years, with a total value of $98.
Total Amount is formed as General ($98) + Research ($0) + Ownership ($0) = $98.
Last reported payment date: 2023-12-07 • Largest payer in this snapshot: Lilly USA, LLC ($98).
Total Amount
$98
General + Research + Ownership
Payments
2
Total payment records
General Amount
$98
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-12-07
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Lilly USA, LLC | $98 |
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: 2008-08-01
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20080801000543 | I | Nurse Practitioner | FL | 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 |
|---|---|---|---|---|
| 99284 | Emergency department visit with moderate level of medical decision making | 39 | 39 | $0 |
| 99285 | Emergency department visit with high level of medical decision making | 21 | 20 | $0 |
Insurance plans in this area (ZIP 32063)
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