Mrs Amanda Lauren Kennedy, AGACNP-BC - Medicare Nurse Practitioner in Blue Ash, OH

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Mrs Amanda Lauren Kennedy, AGACNP-BC is a medicare enrolled "Nurse Practitioner - Acute Care" in Blue Ash, Ohio. She graduated from nursing school in 2017 and has 7 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Hansa Medical Groupe Llc, S3 Medical Consultants Llc and her current practice location is 11690 Grooms Rd, Blue Ash, Ohio. You can reach out to her office (for appointments etc.) via phone at (513) 917-9697.

Mrs Amanda Lauren Kennedy is licensed to practice in Ohio (license number APRN.CNP.021254) 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 1063937696.

Contact Information

Mrs Amanda Lauren Kennedy, AGACNP-BC
11690 Grooms Rd,
Blue Ash, OH 45242-1412
(513) 917-9697
Not Available

Map and Direction




Provider's Profile

Full NameMrs Amanda Lauren Kennedy
GenderFemale
SpecialityNurse Practitioner
Experience7 Years
Location11690 Grooms Rd, Blue Ash, Ohio
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Mrs Amanda Lauren Kennedy graduated from nursing school in 2017
  NPI Data:
  • NPI Number: 1063937696
  • Provider Enumeration Date: 08/04/2017
  • Last Update Date: 11/18/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 4688905623
  • Enrollment ID: I20191007000596

Medical Identifiers

Medical identifiers for Mrs Amanda Lauren Kennedy such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1063937696NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LA2100XNurse Practitioner - Acute Care APRN.CNP.021254 (Ohio)Primary
163W00000XRegistered Nurse RN.391672 (Ohio)Secondary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Hansa Medical Groupe Llc509288141737
S3 Medical Consultants Llc993150961913

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. Mrs Amanda Lauren Kennedy allows following entities to bill medicare on her behalf.
Entity NamePsychiatric Management Services
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1942677281
PECOS PAC ID: 7618285057
Enrollment ID: O20161010000547
Entity NameCommunity Care Health Network Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1619368842
PECOS PAC ID: 8527324151
Enrollment ID: O20181221001967
Entity NameS3 Medical Consultants Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1891360079
PECOS PAC ID: 9931509619
Enrollment ID: O20210805001734
Entity NameHansa Medical Groupe Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1386804615
PECOS PAC ID: 5092881417
Enrollment ID: O20220829001953
Entity NameHopewell Healthcare Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1831804798
PECOS PAC ID: 8123470440
Enrollment ID: O20240122004306

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. Mrs Amanda Lauren 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
Mrs Amanda Lauren Kennedy, AGACNP-BC
4615 Northridge Dr,
Batavia, OH 45103-1385

Ph: (513) 917-9697		Mrs Amanda Lauren Kennedy, AGACNP-BC
11690 Grooms Rd,
Blue Ash, OH 45242-1412

Ph: (513) 917-9697

Reviews and Comments


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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.