Active NPI
Danielle Darlene Kennedy, RN
- Psychiatric/Mental Health Nurse Practitioner
- Hillsboro, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 2023006107
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 420120610 | Medicaid | MO | |
| 22893 | Other | AR | ARKANSAS APRN LICENSE |
| 2023006107 | Other | MO | MISSOURI APRN LICENSE |
| 300244758 | Medicaid | AR |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO, AR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
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
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 100
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 2018004709 | MO | MD | Registered Nurse |
| 22893 | AR | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| McPherson Medical & Diagnostic, LLC | Current | Accepting new patients | |
| McPherson Medical & Diagnostic, LLC | Current | Accepting new patients | |
| McPherson Medical & Diagnostic, LLC | Current | Accepting new patients | |
| Family Mental Health Wellness LLC | Psychiatric/Mental Health | Current | Accepting new patients |
| Honour Brite LLC | Psychiatric/Mental Health | Current | Accepting new patients |
| Eustasis Foundation, Inc | Past | 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
- 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.
-
- Psychiatric/Mental Health Nurse Practitioner
- Hillsboro, MO
- NPI 1598657132
-
- Multi-Specialty Clinic/Center
- Springfield, MO
- NPI 1548760820
AR, Psychiatric/Mental Health
-
- Clinic/Center
- Malden, MO
- NPI 1003407883
-
- Hospitalist Physician
- Sikeston, MO
- NPI 1326497587
-
- Family Medicine Physician
- Kennett, MO
- NPI 1124679774
-
- Family Medicine Physician
- Steele, MO
- NPI 1164440806
-
- Voluntary or Charitable Agency
- Springfield, MO
- NPI 1386257780
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.