Shelly K Kennedy, ARNP in Wenatchee, WA - Medicare Nurse Practitioner

Shelly K Kennedy, ARNP is a medicare enrolled "Nurse Practitioner - Family" in Wenatchee, Washington. Her current practice location is 141 S Emerson Ave, Wenatchee, Washington. You can reach out to her office (for appointments etc.) via phone at (504) 452-5252.

Shelly K Kennedy is licensed to practice in Washington (license number AP60686679) 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 1689044026.

Contact Information

	Shelly K Kennedy, ARNP
	141 S Emerson Ave, Wenatchee, WA 98801-2612
	(504) 452-5252
	Not Available

Map and Direction

Provider's Profile

Full Name	Shelly K Kennedy
Gender	Female
Speciality	Nurse Practitioner - Family
Location	141 S Emerson Ave, Wenatchee, Washington
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1689044026
Provider Enumeration Date: 09/28/2015
Last Update Date: 10/23/2024

Medicare PECOS Information:

PECOS PAC ID: 4385947589
Enrollment ID: I20240311002187

Medical Identifiers

Medical identifiers for Shelly K Kennedy such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1689044026	NPI	-	NPPES
2078508	Medicaid	WA
04274756	Medicaid	MS

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	RN126476 (Louisiana)	Secondary
363LF0000X	Nurse Practitioner - Family	AP08549 (Louisiana)	Secondary
363LF0000X	Nurse Practitioner - Family	AP60686679 (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. Shelly K Kennedy allows following entities to bill medicare on her behalf.

Entity Name	Peacehealth Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1447207287 PECOS PAC ID: 9032023270 Enrollment ID: O20031113000097

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. Shelly K 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 Address	Practice Location Address
Shelly K Kennedy, ARNP 141 S Emerson Ave, Wenatchee, WA 98801-2612 Ph: (504) 452-5252	Shelly K Kennedy, ARNP 141 S Emerson Ave, Wenatchee, WA 98801-2612 Ph: (504) 452-5252

Reviews and Comments

Nurse Practitioner Nurses in Wenatchee, WA

Christine A Young, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 600 Orondo Ave Ste 1, Wenatchee, WA 98801 Phone: 509-662-6000
Vivian Lockett, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 600 Orondo Ave, Wenatchee, WA 98801 Phone: 509-662-6000
Michelle Freiberger, ARNP,BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 820 N Chelan Ave, Wenatchee, WA 98801 Phone: 509-663-8711
Katie Bates, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1201 S Miller St, Wenatchee, WA 98801 Phone: 509-667-7511
Mrs. Kelli Jean Dilks, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 246 N Mission St, Wenatchee, WA 98801 Phone: 509-662-1955 Fax: 509-662-6695
Miss Tess Astley, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 636 Valley Mall Pkwy Ste 5, Wenatchee, WA 98802 Phone: 509-888-3496
Julia Wolf, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 820 N Chelan Ave, Wenatchee, WA 98801 Phone: 509-663-8711

Shelly K Kennedy, ARNP - Medicare Nurse Practitioner in Wenatchee, WA