Avery Imara Kennedy, APRN, BC in Rio Rancho, NM

Avery Imara Kennedy, APRN, BC is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Rio Rancho, New Mexico. Her current practice location is 2200 Grande Blvd Se Ste B, Rio Rancho, New Mexico. You can reach out to her office (for appointments etc.) via phone at (505) 218-6383.

Avery Imara Kennedy is licensed to practice in New Mexico (license number 68503) 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 1851586358.

Contact Information

	Avery Imara Kennedy, APRN, BC
	2200 Grande Blvd Se Ste B, Rio Rancho, NM 87124-1695
	(505) 218-6383
	(505) 636-6338

Map and Direction

Provider's Profile

Full Name	Avery Imara Kennedy
Gender	Female
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	2200 Grande Blvd Se Ste B, Rio Rancho, New Mexico
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1851586358
Provider Enumeration Date: 09/09/2007
Last Update Date: 03/22/2024

Medicare PECOS Information:

PECOS PAC ID: 0345396776
Enrollment ID: I20221230002005

Medical Identifiers

Medical identifiers for Avery Imara Kennedy such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1851586358	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	68503 (New Mexico)	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. Avery Imara Kennedy allows following entities to bill medicare on her behalf.

Entity Name	Unm Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1831218627 PECOS PAC ID: 4981795267 Enrollment ID: O20070801000589

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. Avery Imara 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
Avery Imara Kennedy, APRN, BC 2582 Camino Plata Loop Ne, Rio Rancho, NM 87144-5825 Ph: (505) 414-0055	Avery Imara Kennedy, APRN, BC 2200 Grande Blvd Se Ste B, Rio Rancho, NM 87124-1695 Ph: (505) 218-6383

Reviews and Comments

Nurse Practitioner Nurses in Rio Rancho, NM

Mr. Jimmy Maggay Calzado, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1350 Jackie Rd Se, Suite 104, Rio Rancho, NM 87124 Phone: 505-515-3982 Fax: 505-792-6060
Ms. Audrey Ann Bautista, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: Nw Metro Va Clinic, 1760 Grande Blvd, Rio Rancho, NM 87124 Phone: 505-896-7200 Fax: 505-994-4285
Maria Lynn Spangler, FNP-BC, PMHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3824 Bay Hill Loop Se, Rio Rancho, NM 87124 Phone: 505-554-5542
Kelly Jean Hoock, MSN, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4200 Meadowlark Ln Se Ste 2, Rio Rancho, NM 87124 Phone: 505-994-3256
Vernon Anthony Osborn, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 184 Unser Blvd Ne, Rio Rancho, NM 87124 Phone: 055-896-0928
Mrs. Laura Kris Mccleskey, CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3751 Southern Blvd Ne, Suite A, Rio Rancho, NM 87124 Phone: 505-306-2293
Jennifer Marie Lujan, CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4200 Meadowlark Ln Se, Rio Rancho, NM 87124 Phone: 505-891-9990 Fax: 505-738-4040

Avery Imara Kennedy, APRN, BC - Medicare Nurse Practitioner in Rio Rancho, NM