Individual provider Active NPI

Danielle Darlene Kennedy, RN

  • Psychiatric/Mental Health Nurse Practitioner
  • Hillsboro, MO
National Provider Identifier
1063118404
Registry record updated Nov 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
2023006107 Issued in MO
Practice address
424 Main St
Hillsboro, MO 63050-4350
Phone
(314) 628-0124
Fax
(800) 246-0622
NPI assigned
Feb 7, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 22893 AR
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 2023006107 MO Primary
Registered Nurse 163W00000X 2018004709 MO

Addresses

Primary practice location

424 Main St
Hillsboro, MO 63050-4350

Mailing address

424 Main St
Hillsboro, MO 63050-4350
Phone (314) 628-0124

Other practice location 1

1505 E Bradford Pkwy
Springfield, MO 65804-6566
Phone (417) 322-6622

Other practice location 2

3600 S National Ave
Springfield, MO 65807-7311
Phone (417) 322-6622

Other practice location 3

2005 W Elm St
Rogers, AR 72758-4018
Phone (479) 427-7722

Other practice location 4

5548 N Farmer Branch Rd
Ozark, MO 65721-5315
Phone (417) 322-6622

Other practice location 5

2000 S Promenade Blvd Ste 202
Rogers, AR 72758-8609
Phone (479) 427-7722

Other identifiers 4

IdentifierTypeStateIssuer
420120610MedicaidMO
22893OtherARARKANSAS APRN LICENSE
2023006107OtherMOMISSOURI APRN LICENSE
300244758MedicaidAR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, AR2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20230221002254 MO Practitioner - Nurse Practitioner 8325410301 Reassigns benefits to 6 organizations
I20230515000458 AR Practitioner - Nurse Practitioner 8325410301 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Saint Louis University School of Medicine, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Honour Brite LLCGroup PAC ID 3971864588, 14 clinicians

Practice addresses (Care Compare)

1505 E Bradford Pkwy
Eustasis Psychiatric and Addiction Health
Springfield, MO 65804-6566
Phone (417) 322-6622

2005 W Elm St
Eustasis Psychiatric and Addiction Health
Rogers, AR 72758-4018
Phone (479) 427-7722

216 W Main St
Steele, MO 63877-1436
Phone (573) 695-2181

223 S 3Rd St
Hayti, MO 63851-1617
Phone (573) 717-1072

304 Teaco Rd
Suite a
Kennett, MO 63857-3268
Phone (573) 717-1072

424 Main St
Hillsboro, MO 63050-4350
Phone (636) 208-5484

Merit-based Incentive Payment System (MIPS)

Final score
94.1 of 100Reported as group
Quality
82.5
Promoting interoperability
100
Improvement activities
40
Cost
81.16

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
2018004709MOMDRegistered Nurse
22893ARMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
McPherson Medical & Diagnostic, LLC CurrentSince Jun 1, 2024 Accepting new patients
McPherson Medical & Diagnostic, LLC CurrentSince Jun 1, 2024 Accepting new patients
McPherson Medical & Diagnostic, LLC Current Accepting new patients
Family Mental Health Wellness LLC Psychiatric/Mental Health CurrentSince Jun 18, 2025 Accepting new patients
Honour Brite LLC Psychiatric/Mental Health CurrentSince Feb 15, 2023 Accepting new patients
Eustasis Foundation, Inc PastSince Aug 30, 2020 Accepting new patients

Locations

2000 S Promenade Blvd
Ste 202
Rogers, AR 72758
Phone (479) 282-2737

2005 W Elm St
Rogers, AR 72758
Phone (479) 427-7722

223 S 3rd St
Hayti, MO 63851
Phone (573) 359-2019

424 Main St
Hillsboro, MO 63050
Phone (636) 208-5484

5548 N Farmer Branch Rd
Ozark, MO 65721
Phone (417) 269-2215

3100 S National Ave
Ste 103
Springfield, MO 65807
Phone (417) 322-6622

1505 E Bradford Pkwy
Springfield, MO 65804
Phone (417) 281-0053

3600 S National Ave
Springfield, MO 65807
Phone (417) 322-6622

216 W Main St
Steele, MO 63877
Phone (573) 695-2181

216 W Main St
Ste B
Steele, MO 63877
Phone (573) 695-2181

Interoperability endpoints

  • Direct secure messaging: danielle.kennedy.1@21190.direct.athenahealth.com

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1675728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764288000000",
    "number": "1063118404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "424 MAIN ST",
            "city": "HILLSBORO",
            "state": "MO",
            "postal_code": "630504350",
            "telephone_number": "314-628-0124",
            "fax_number": "800-246-0622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "424 MAIN ST",
            "city": "HILLSBORO",
            "state": "MO",
            "postal_code": "630504350",
            "telephone_number": "314-628-0124",
            "fax_number": "800-246-0622"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1505 E Bradford Pkwy",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "MO",
            "postal_code": "658046566",
            "country_code": "US",
            "telephone_number": "417-322-6622",
            "fax_number": "417-350-1935",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3600 S National Ave",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "MO",
            "postal_code": "658077311",
            "country_code": "US",
            "telephone_number": "417-322-6622",
            "fax_number": "417-350-1935",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2005 W Elm St",
            "address_purpose": "LOCATION",
            "city": "Rogers",
            "state": "AR",
            "postal_code": "727584018",
            "country_code": "US",
            "telephone_number": "479-427-7722",
            "fax_number": "479-427-7721",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5548 N Farmer Branch Rd",
            "address_purpose": "LOCATION",
            "city": "Ozark",
            "state": "MO",
            "postal_code": "657215315",
            "country_code": "US",
            "telephone_number": "417-322-6622",
            "fax_number": "417-350-1935",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2000 S Promenade Blvd Ste 202",
            "address_purpose": "LOCATION",
            "city": "Rogers",
            "state": "AR",
            "postal_code": "727588609",
            "country_code": "US",
            "telephone_number": "479-427-7722",
            "fax_number": "479-427-7721",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KENNEDY",
        "first_name": "DANIELLE",
        "middle_name": "DARLENE",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-02-07",
        "last_updated": "2025-11-28",
        "certification_date": "2025-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AR",
            "license": "22893",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MO",
            "license": "2023006107",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MO",
            "license": "2018004709",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "420120610",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ARKANSAS APRN LICENSE",
            "identifier": "22893",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MISSOURI APRN LICENSE",
            "identifier": "2023006107",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300244758",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hillsboro, MO

Sources for this page

Verify at the official NPI Registry.