| Stacy Jo Kennedy, FNP- BC | |
|
1453a Dewar Dr, Rock Springs, WY 82901-5812 | |
| (307) 382-2466 | |
| (888) 395-0359 |
| Full Name | Stacy Jo Kennedy |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 8 Years |
| Location | 1453a Dewar Dr, Rock Springs, Wyoming |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669947610 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 30260.1816 (Wyoming) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Casper Cardiology | 2062712029 | 4 |
| Entity Name | Casper Cardiology |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1447627492 PECOS PAC ID: 2062712029 Enrollment ID: O20151123001632 |
| Mailing Address | Practice Location Address |
|---|---|
| Stacy Jo Kennedy, FNP- BC 249 Douglas Dr, Rock Springs, WY 82901-3148 Ph: (307) 371-1601 | Stacy Jo Kennedy, FNP- BC 1453a Dewar Dr, Rock Springs, WY 82901-5812 Ph: (307) 382-2466 |
Mrs. Dana Grenier, FNP-BC Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 2706 Ankeny Way, Rock Springs, WY 82901 Phone: 307-352-6689 | |
Laura J Heitz, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2620 Commercial Way, Suite 051, Rock Springs, WY 82901 Phone: 307-382-2080 Fax: 307-382-5099 | |
Brooke Fandrich, PMHNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 404 N St Ste 202, Rock Springs, WY 82901 Phone: 307-630-3466 | |
Andrea Valdez, PMHNP-BC, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1124 College Dr, Rock Springs, WY 82901 Phone: 307-352-6680 | |
Mikayla Lapointe, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3000 College Dr, Rock Springs, WY 82901 Phone: 307-212-7708 | |
Emily C James, APRN-CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1180 College Dr, Rock Springs, WY 82901 Phone: 307-352-8383 Fax: 307-352-8477 | |
Calie Wilson, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2751 Commercial Way, Rock Springs, WY 82901 Phone: 307-382-7414 |