Individual provider Active NPI

Stephanie Ann Kennedy, APRN, CNP

  • Nurse Practitioner
  • Edgewood, KY
National Provider Identifier
1104495928
Registry record updated Apr 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
3017110 Issued in KY
Practice address
1 Medical Village Dr
Edgewood, KY 41017-3403
Phone
(859) 301-2250
NPI assigned
Jun 24, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 3017110 KY Primary
Nurse Practitioner 363L00000X 71012111A IN
Family Nurse Practitioner 363LF0000X 0029132 OH

Addresses

Primary practice location

1 Medical Village Dr
Edgewood, KY 41017-3403

Mailing address

PO Box 638685
Cincinnati, OH 45263-8685
Phone (859) 572-3617

Other practice location 1

238 Barnes Rd
Williamstown, KY 41097-9482
Phone (859) 824-8240

Other practice location 2

85 N Grand Ave
Fort Thomas, KY 41075-4027
Phone (513) 312-2247

Other practice location 3

1500 James Simpson Jr Way
Covington, KY 41011-0801
Phone (859) 655-4353

Other practice location 4

4900 Houston Rd
Florence, KY 41042-4824
Phone (859) 212-5441

Other practice location 5

740 W Galbraith Rd
Cincinnati, OH 45231-6002
Phone (513) 383-5504

Other practice location 6

600 Wilson Creek Rd
Lawrenceburg, IN 47025-2751
Phone (812) 532-2700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, KY, IN3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20210819002465 OH Practitioner - Nurse Practitioner 5294130894 Reassigns benefits to 3 organizations
I20211228001618 KY Practitioner - Nurse Practitioner 5294130894 Reassigns benefits to 1 organization
I20220114001984 IN Practitioner - Nurse Practitioner 5294130894 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Compass Emergency Physicians PSCGroup PAC ID 8224350939, 83 clinicians

Practice addresses (Care Compare)

600 Wilson Creek Rd
Lawrenceburg, IN 47025-2751
Phone (859) 572-3617

85 N Grand Ave
Fort Thomas, KY 41075-1793
Phone (859) 572-3617

Hospital & facility affiliations

  • Mercy Health-Anderson Hospital Hospital, Cincinnati, OH, CCN 360001
  • Mercy Health - West Hospital Hospital, Cincinnati, OH, CCN 360234

Merit-based Incentive Payment System (MIPS)

Final score
93.01 of 100Reported as apm
Quality
86.02
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
96.9 of 100Reported as group
Quality
91.17
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
93.13 of 100Reported as group
Quality
89.38
Improvement activities
40
Cost
79.98

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Practitioner, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
71012111AINMDNurse Practitioner
0029132OHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Trihealth H LLC Nurse Practitioner CurrentSince Nov 1, 2023 Accepting new patients
Compass Emergency Physicians PSC Nurse Practitioner CurrentSince Nov 29, 2021 Accepting new patients
CG Medical Associates Inc CurrentSince Jul 1, 2021 Accepting new patients
Emergency Medicine Physicians of Cincinnati, LTD. Nurse Practitioner CurrentSince Sep 16, 2023 Accepting new patients

Locations

600 Wilson Creek Rd
Lawrenceburg, IN 47025
Phone (812) 532-2700

1500 James Simpson Jr Way
Covington, KY 41011
Phone (859) 655-4353

1 Medical Village Dr
Edgewood, KY 41017
Phone (859) 301-2000

4900 Houston Rd
Florence, KY 41042
Phone (859) 212-5200

85 N Grand Ave
Fort Thomas, KY 41075
Phone (859) 572-3100

238 Barnes Rd
Williamstown, KY 41097
Phone (859) 292-4000

3300 Mercy Health Blvd
Cincinnati, OH 45211
Phone (513) 215-1114

375 Dixmyth Ave
Ste 3135
Cincinnati, OH 45220
Phone (513) 862-3452

7300 Beechmont Ave
Cincinnati, OH 45230
Phone (513) 232-9100

740 W Galbraith Rd
Ste 190
Cincinnati, OH 45231
Phone (513) 346-3399

740 W Galbraith Rd
Ste 100
Cincinnati, OH 45231
Phone (513) 242-0100

740 W Galbraith Rd
Cincinnati, OH 45231
Phone (513) 246-7337

375 Dixmyth Ave
Cincinnati, OH 45220
Phone (513) 862-2432

1000 Columbus Ave
Unit B
Lebanon, OH 45036
Phone (513) 934-7171

Interoperability endpoints

  • Direct secure messaging: skennedy400977@direct.trihealth.com

Organizations & group practices 4

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1624492800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743638400000",
    "number": "1104495928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 638685",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452638685",
            "telephone_number": "859-572-3617",
            "fax_number": "833-643-8146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 MEDICAL VILLAGE DR",
            "city": "EDGEWOOD",
            "state": "KY",
            "postal_code": "410173403",
            "telephone_number": "859-301-2250"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "238 Barnes Rd",
            "address_purpose": "LOCATION",
            "city": "Williamstown",
            "state": "KY",
            "postal_code": "410979482",
            "country_code": "US",
            "telephone_number": "859-824-8240",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "85 N Grand Ave",
            "address_purpose": "LOCATION",
            "city": "Fort Thomas",
            "state": "KY",
            "postal_code": "410754027",
            "country_code": "US",
            "telephone_number": "513-312-2247",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1500 James Simpson Jr Way",
            "address_purpose": "LOCATION",
            "city": "Covington",
            "state": "KY",
            "postal_code": "410110801",
            "country_code": "US",
            "telephone_number": "859-655-4353",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4900 Houston Rd",
            "address_purpose": "LOCATION",
            "city": "Florence",
            "state": "KY",
            "postal_code": "410424824",
            "country_code": "US",
            "telephone_number": "859-212-5441",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "740 W Galbraith Rd",
            "address_purpose": "LOCATION",
            "city": "Cincinnati",
            "state": "OH",
            "postal_code": "452316002",
            "country_code": "US",
            "telephone_number": "513-383-5504",
            "fax_number": "513-853-5543",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "600 Wilson Creek Rd",
            "address_purpose": "LOCATION",
            "city": "Lawrenceburg",
            "state": "IN",
            "postal_code": "470252751",
            "country_code": "US",
            "telephone_number": "812-532-2700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KENNEDY",
        "first_name": "STEPHANIE",
        "middle_name": "ANN",
        "credential": "APRN, CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-24",
        "last_updated": "2025-04-03",
        "certification_date": "2025-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KY",
            "license": "3017110",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IN",
            "license": "71012111A",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "0029132",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edgewood, KY

Sources for this page

Verify at the official NPI Registry.