Crystal Nicole Kennedy, NP in Auburn, IN - Medicare Nurse Practitioner

Crystal Nicole Kennedy, NP is a medicare enrolled "Nurse Practitioner - Primary Care" in Auburn, Indiana. She graduated from nursing school in 2015 and has 9 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Indiana University Health Urgent Care Centers Llc and her current practice location is 1153 W 15th St, Auburn, Indiana. You can reach out to her office (for appointments etc.) via phone at (260) 222-1181.

Crystal Nicole Kennedy is licensed to practice in Indiana (license number 71006117A) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1902267057.

Contact Information

	Crystal Nicole Kennedy, NP
	1153 W 15th St, Auburn, IN 46706-2061
	(260) 222-1181
	(260) 333-0510

Map and Direction

Provider's Profile

Full Name	Crystal Nicole Kennedy
Gender	Female
Speciality	Nurse Practitioner
Experience	9 Years
Location	1153 W 15th St, Auburn, Indiana
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Crystal Nicole Kennedy graduated from nursing school in 2015

NPI Data:

NPI Number: 1902267057
Provider Enumeration Date: 03/17/2016
Last Update Date: 10/17/2024

Medicare PECOS Information:

PECOS PAC ID: 1850699752
Enrollment ID: I20160408001611

Medical Identifiers

Medical identifiers for Crystal Nicole Kennedy such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1902267057	NPI	-	NPPES
Q00659366	Other	IN	RAILROAD PTAN
201350820	Medicaid	IN
1902267057	Other	IN	ANTHEM PTAN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	71006117A (Indiana)	Secondary
363LP2300X	Nurse Practitioner - Primary Care	71006117A (Indiana)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Indiana University Health Ball Memorial Hospital	Muncie, IN	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Indiana University Health Urgent Care Centers Llc	0042526063	49

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. Crystal Nicole Kennedy allows following entities to bill medicare on her behalf.

Entity Name	Indiana University Health Urgent Care Centers Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1750763819 PECOS PAC ID: 0042526063 Enrollment ID: O20150904000941

Entity Name	Kennedy Family Medicine Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1487415170 PECOS PAC ID: 1254777881 Enrollment ID: O20240306001078

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. Crystal Nicole 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
Crystal Nicole Kennedy, NP 1153 W 15th St, Auburn, IN 46706-2061 Ph: (260) 222-1181	Crystal Nicole Kennedy, NP 1153 W 15th St, Auburn, IN 46706-2061 Ph: (260) 222-1181

Reviews and Comments

Nurse Practitioner Nurses in Auburn, IN

Grace E. Sneary, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 916 W 7th St, Auburn, IN 46706 Phone: 260-927-0400 Fax: 260-927-0440
Nicole M Sanderson, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 510 Smaltz Way, Auburn, IN 46706 Phone: 260-927-1756 Fax: 260-479-4639
Mrs. Jamie Lynn Starkey, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1310 E 7th St Ste J, Auburn, IN 46706 Phone: 260-925-0305 Fax: 260-925-6041
Ms. Tabitha Pittman, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1310 E 7th St Ste F, Auburn, IN 46706 Phone: 260-925-0403 Fax: 260-925-9545
Lyndi A Bienz, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1316 E 7th St Ste 4, Auburn, IN 46706 Phone: 260-920-2000 Fax: 260-920-3623
Angela Webb, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1316 E 7th St Ste 4, Auburn, IN 46706 Phone: 260-920-2000
Jessica L Slattery, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1306 E 7th St Ste A, Auburn, IN 46706 Phone: 260-925-1255 Fax: 260-925-1256

Crystal Nicole Kennedy, NP - Medicare Nurse Practitioner in Auburn, IN