Shannon Kelly Kennedy, FNP-C - Medicare Nurse Practitioner in Royse City, TX

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Shannon Kelly Kennedy, FNP-C is a medicare enrolled "Nurse Practitioner" in Royse City, Texas. Her current practice location is 3401 Wildwood Dr, Royse City, Texas. You can reach out to her office (for appointments etc.) via phone at (469) 951-4385.

Shannon Kelly Kennedy is licensed to practice in Texas (license number 1088162) 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 1457080228.

Contact Information

Shannon Kelly Kennedy, FNP-C
3401 Wildwood Dr,
Royse City, TX 75189-3305
(469) 951-4385
Not Available

Map and Direction




Provider's Profile

Full NameShannon Kelly Kennedy
GenderFemale
SpecialityNurse Practitioner
Location3401 Wildwood Dr, Royse City, Texas
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1457080228
  • Provider Enumeration Date: 06/07/2022
  • Last Update Date: 03/22/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 7719361237
  • Enrollment ID: I20220901002503

Medical Identifiers

Medical identifiers for Shannon Kelly Kennedy such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1457080228NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163W00000XRegistered Nurse 894279 (Texas)Secondary
207Q00000XFamily Medicine 1088162 (Texas)Secondary
363L00000XNurse Practitioner 1088162 (Texas)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. Shannon Kelly Kennedy allows following entities to bill medicare on her behalf.
Entity NameSignify Health Medical Associates Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1750845863
PECOS PAC ID: 2163764424
Enrollment ID: O20190520001486
Entity NamePremium Choice Physicians
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1548824121
PECOS PAC ID: 4789089988
Enrollment ID: O20210826001489

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. Shannon Kelly 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
Shannon Kelly Kennedy, FNP-C
3401 Wildwood Dr,
Royse City, TX 75189-3305

Ph: (469) 951-4385		Shannon Kelly Kennedy, FNP-C
3401 Wildwood Dr,
Royse City, TX 75189-3305

Ph: (469) 951-4385

Reviews and Comments


Nurse Practitioner Nurses in Royse City, TX

Mrs. Cindy Lucille Robinson, APRN
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 6774 Fm 1565, Royse City, TX 75189
Phone: 214-228-7852    
Kimberly H Wagner, R.N., F.N.P
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 125 W Interstate 30, Royse City, TX 75189
Phone: 903-408-7700    Fax: 903-408-7810
Tiffany Haney, FNP-BC
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 624 I 30 E Ste 100, Royse City, TX 75189
Phone: 972-635-2173    
Kenya J Ballard, NP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 8154 County Road 2419, Royse City, TX 75189
Phone: 214-552-8606    
Kearsty Busby, FNP-C
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 6257 Fm 2642 Blvd Ste 100, Royse City, TX 75189
Phone: 469-800-3670    
Courtney Leigh Carter, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 6257 Fm 2642 Blvd, Royse City, TX 75189
Phone: 972-635-9490    
Sara Vergis,
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 624 I 30 E Ste 100, Royse City, TX 75189
Phone: 972-635-2173    

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.