Laura Lisbeth Kennedy, RN, FNP-BC - Medicare Nurse Practitioner in Reston, VA

  1. Home
  2. Nurse Practitioner
  3. VA
  4. Reston
Laura Lisbeth Kennedy, RN, FNP-BC is a medicare enrolled "Nurse Practitioner - Family" in Reston, Virginia. Her current practice location is 12040 S Lakes Dr, Reston, Virginia. You can reach out to her office (for appointments etc.) via phone at (703) 464-0686.

Laura Lisbeth Kennedy is licensed to practice in Virginia (license number 0024173863) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1760938161.

Contact Information

Laura Lisbeth Kennedy, RN, FNP-BC
12040 S Lakes Dr,
Reston, VA 20191-1246
(703) 464-0686
Not Available

Map and Direction




Provider's Profile

Full NameLaura Lisbeth Kennedy
GenderFemale
SpecialityNurse Practitioner - Family
Location12040 S Lakes Dr, Reston, Virginia
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1760938161
  • Provider Enumeration Date: 08/27/2016
  • Last Update Date: 04/04/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 6800175258
  • Enrollment ID: I20161108001290

Medical Identifiers

Medical identifiers for Laura Lisbeth Kennedy such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1760938161NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163W00000XRegistered Nurse 0001232629 (Virginia)Secondary
363LF0000XNurse Practitioner - Family 0024173863 (Virginia)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Laura Lisbeth Kennedy allows following entities to bill medicare on her behalf.
Entity NamePrivia Medical Group Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1013042480
PECOS PAC ID: 4385682061
Enrollment ID: O20050422000298

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Laura Lisbeth Kennedy is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Laura Lisbeth Kennedy, RN, FNP-BC
12040 S Lakes Dr,
Reston, VA 20191-1246

Ph: (703) 464-0686		Laura Lisbeth Kennedy, RN, FNP-BC
12040 S Lakes Dr,
Reston, VA 20191-1246

Ph: (703) 464-0686

Reviews and Comments


Nurse Practitioner Nurses in Reston, VA

Margaret Smith Lynch, FNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 1488 Northpoint Village Ctr, Reston, VA 20194
Phone: 571-786-1024    Fax: 571-786-1025
Louise C Ritz, NP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 12524 Sunrise Valley Dr, Reston, VA 20191
Phone: 703-689-2180    Fax: 703-481-3853
Mrs. Inga Marler, FNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 12103 Stirrup Rd, Reston, VA 20191
Phone: 612-225-1538    
Kathleen Judge Bowie, FNP-BC
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 11484 Washington Plz W Ste 300, Reston, VA 20190
Phone: 703-443-2000    
Ms. Maureen E West, CRNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 11445 Sunset Hill Road, Reston, VA 20190
Phone: 703-709-1500    Fax: 703-709-1711
Mary Joseph Frickel, CFNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1800 Town Center Drive, Suite 220, Reston, VA 20190
Phone: 703-435-2555    Fax: 571-926-8910
Ms. Dana Jones-sheppard, NP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 12040 S Lakes Dr Ste 204, Reston, VA 20191
Phone: 703-230-0347    Fax: 703-230-0350

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.