Mrs Michelle Lynn Kennedy, NP - Medicare Nurse Practitioner in Waterbury, CT

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Mrs Michelle Lynn Kennedy, NP is a medicare enrolled "Nurse Practitioner - Family" in Waterbury, Connecticut. Her current practice location is 51 N Elm St, Waterbury, Connecticut. You can reach out to her office (for appointments etc.) via phone at (203) 574-4000.

Mrs Michelle Lynn Kennedy is licensed to practice in Connecticut (license number 3620) 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 1891836110.

Contact Information

Mrs Michelle Lynn Kennedy, NP
51 N Elm St,
Waterbury, CT 06702-1511
(203) 574-4000
(203) 574-4003

Map and Direction




Provider's Profile

Full NameMrs Michelle Lynn Kennedy
GenderFemale
SpecialityNurse Practitioner - Family
Location51 N Elm St, Waterbury, Connecticut
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1891836110
  • Provider Enumeration Date: 02/09/2007
  • Last Update Date: 11/01/2011
  Medicare PECOS Information:
  • PECOS PAC ID: 8123114493
  • Enrollment ID: I20080505000161

Medical Identifiers

Medical identifiers for Mrs Michelle Lynn Kennedy such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1891836110NPI-NPPES
004236346MedicaidCT

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 16084 (California)Secondary
363LF0000XNurse Practitioner - Family 3620 (Connecticut)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. Mrs Michelle Lynn Kennedy allows following entities to bill medicare on her behalf.
Entity NameYale University
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1093862740
PECOS PAC ID: 9436061736
Enrollment ID: O20031124000690
Entity NameCornell Scott Hill Health Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1902921380
PECOS PAC ID: 3072418359
Enrollment ID: O20031201000145
Entity NameSwan Integrative Health And Wellness Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1265892541
PECOS PAC ID: 5698062636
Enrollment ID: O20160920000631

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. Mrs Michelle Lynn 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
Mrs Michelle Lynn Kennedy, NP
635 Main St, Attn: Credentialing Dpt,
Middletown, CT 06457-2718

Ph: (860) 347-6971		Mrs Michelle Lynn Kennedy, NP
51 N Elm St,
Waterbury, CT 06702-1511

Ph: (203) 574-4000

Reviews and Comments


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Steven Paul Jeske, FNP-BC
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Practice Location: 276 Highland Ave Ste A2, Waterbury, CT 06708
Phone: 203-819-7220    Fax: 203-819-7270

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.