Angela Marie Kennedy, ARNP - Medicare Nurse Practitioner in Tacoma, WA

Angela Marie Kennedy, ARNP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Tacoma, Washington. Her current practice location is 737 Fawcett Ave, Tacoma, Washington. You can reach out to her office (for appointments etc.) via phone at (253) 396-5800.

Angela Marie Kennedy is licensed to practice in Washington (license number AP61337519) 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 1154967339.

Contact Information

Angela Marie Kennedy, ARNP
737 Fawcett Ave,
Tacoma, WA 98402-5503
(253) 396-5800
Not Available

Map and Direction




Provider's Profile

Full NameAngela Marie Kennedy
GenderFemale
SpecialityNurse Practitioner - Psychiatric/mental Health
Location737 Fawcett Ave, Tacoma, Washington
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1154967339
  • Provider Enumeration Date: 11/21/2019
  • Last Update Date: 10/07/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 2264806165
  • Enrollment ID: I20230315002998

Medical Identifiers

Medical identifiers for Angela Marie Kennedy such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1154967339NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP0808XNurse Practitioner - Psychiatric/mental Health 33032 (Tennessee)Secondary
363LP0808XNurse Practitioner - Psychiatric/mental Health AP61337519 (Washington)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. Angela Marie Kennedy allows following entities to bill medicare on her behalf.
Entity NameCenterstone Of Tennessee, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1396767430
PECOS PAC ID: 9739088113
Enrollment ID: O20040106000489

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. Angela Marie 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
Angela Marie Kennedy, ARNP
737 Fawcett Ave,
Tacoma, WA 98402-5503

Ph: () -
Angela Marie Kennedy, ARNP
737 Fawcett Ave,
Tacoma, WA 98402-5503

Ph: (253) 396-5800

Reviews and Comments


Nurse Practitioner Nurses in Tacoma, WA

Salome Odja Dockendorf,
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Medicare: Accepting Medicare Assignments
Practice Location: 1201 Pacific Ave Ste 19501201, Tacoma, WA 98402
Phone: 812-870-6728    
Barbara L Kapuscinski, ARNP
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Medicare: Not Enrolled in Medicare
Practice Location: 9040 Jackson Ave, Tacoma, WA 98431
Phone: 253-968-2751    
Ms. Christine J. Larsen, ARNP
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Medicare: Not Enrolled in Medicare
Practice Location: 3580 Pacific Ave, Tacoma, WA 98418
Phone: 253-798-4500    Fax: 253-798-4493
Rick Hahn, ARNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 315 Martin Luther King Jr Way, Tacoma, WA 98405
Phone: 253-403-1000    
Mrs. Kimberley Anne Burns, APRN,BC
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 1617 S J St, Tacoma, WA 98405
Phone: 253-274-7504    
Randi Marie Berg, ARNP
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Medicare: Not Enrolled in Medicare
Practice Location: 9040 Reid St, Tacoma, WA 98431
Phone: 253-968-2315    
Marlene I Bridgforth, ARNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 1901 S Cedar St, #301 Cardiac Study Center Inc Ps, Tacoma, WA 98405
Phone: 253-572-7320    Fax: 253-627-3191

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.