Shannon Kelly Kennedy, FNP-C - Medicare Nurse Practitioner in Sulphur Springs, TX

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Shannon Kelly Kennedy, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Sulphur Springs, Texas. Her current practice location is 1317 N Hillcrest Dr, Sulphur Springs, Texas. You can reach out to her office (for appointments etc.) via phone at (903) 438-1110.

Shannon Kelly Kennedy is licensed to practice in Texas (license number 1088162) 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 1457080228.

Contact Information

Shannon Kelly Kennedy, FNP-C
1317 N Hillcrest Dr,
Sulphur Springs, TX 75482-2091
(903) 438-1110
Not Available

Map and Direction




Provider's Profile

Full NameShannon Kelly Kennedy
GenderFemale
SpecialityNurse Practitioner - Family
Location1317 N Hillcrest Dr, Sulphur Springs, Texas
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1457080228
  • Provider Enumeration Date: 06/07/2022
  • Last Update Date: 02/03/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 7719361237
  • Enrollment ID: I20220901002503

Medical Identifiers

Medical identifiers for Shannon Kelly Kennedy such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1457080228NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 1088162 (Texas)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. Shannon Kelly Kennedy allows following entities to bill medicare on her behalf.
Entity NameSignify Health Medical Associates Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1750845863
PECOS PAC ID: 2163764424
Enrollment ID: O20190520001486
Entity NamePremium Choice Physicians
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1548824121
PECOS PAC ID: 4789089988
Enrollment ID: O20210826001489

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. Shannon Kelly 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
Shannon Kelly Kennedy, FNP-C
6281 Pyrenean Oak Ct,
Royse City, TX 75189-1280

Ph: (469) 951-4385		Shannon Kelly Kennedy, FNP-C
1317 N Hillcrest Dr,
Sulphur Springs, TX 75482-2091

Ph: (903) 438-1110

Reviews and Comments


Nurse Practitioner Nurses in Sulphur Springs, TX

Mrs. Hazel May Fielder, FNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 115 Airport Rd, Sulphur Springs, TX 75482
Phone: 903-885-7671    
Dusty Rhoades, MSN, APRN, FNP-C
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 106 Hodge St, Sulphur Springs, TX 75482
Phone: 903-885-2911    
Katheren Baccus, CPNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 1317 N Hillcrest Dr, Sulphur Springs, TX 75482
Phone: 903-438-1110    Fax: 903-438-1107
Mrs. Roxanne Swafford, FNP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 103 Medical Cir Bldg 5a, Sulphur Springs, TX 75482
Phone: 903-689-7272    Fax: 903-689-7270
Mrs. Tiffany Nicole Crenshaw, FNP-C
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 1339 S Broadway St, Sulphur Springs, TX 75482
Phone: 903-951-1001    
Rose Marie Campbell, PNP-C
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 105 Medical Plz, Sulphur Springs, TX 75482
Phone: 903-885-5439    
Macy Sims, CPNP-PC
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 1317 N Hillcrest Dr, Sulphur Springs, TX 75482
Phone: 903-438-1110    Fax: 903-438-1107

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.