Individual provider Active NPI

Kevin Joseph Kennett, MSN APRN PMHNP-BC

  • Psychiatry Physician
  • Kansas City, MO
National Provider Identifier
1235698671
Registry record updated Mar 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
2019007197 Issued in MO
Practice address
3100 NE 83Rd St Ste 1001
Kansas City, MO 64119-4460
Phone
(816) 468-0400
NPI assigned
Mar 15, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 2019007197 MO Primary

Addresses

Primary practice location

3100 NE 83Rd St Ste 1001
Kansas City, MO 64119-4460

Mailing address

310 SE Crescent St
Lees Summit, MO 64063-3412
Phone (816) 678-1209

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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 1

Enrollment IDStateProvider typePAC IDDetails
I20190416000070 MO Practitioner - Nurse Practitioner 7416298724 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Missouri, Kansas City, School of Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Tri-County Mental Health Services, IncGroup PAC ID 8426950718, 35 clinicians

Practice addresses (Care Compare)

3100 NE 83Rd St
Suite 1001
Kansas City, MO 64119-4460
Phone (816) 468-0400

Merit-based Incentive Payment System (MIPS)

Final score
64.92 of 100Reported as group
Quality
36.72
Improvement activities
40
Cost
82.4

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing

State licenses

LicenseStateTypeSpecialty
2019007197MOMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Tri-County Mental Health Services, Inc. CurrentSince Mar 26, 2019 Accepting new patients

Locations

3100 NE 83rd St
Ste 1001
Kansas City, MO 64119
Phone (816) 321-3230

Organizations & group practices 1

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": "1552608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552608000000",
    "number": "1235698671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 SE CRESCENT ST",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640633412",
            "telephone_number": "816-678-1209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 NE 83RD ST STE 1001",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641194460",
            "telephone_number": "816-468-0400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENNETT",
        "first_name": "KEVIN",
        "middle_name": "JOSEPH",
        "credential": "MSN APRN PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-03-15",
        "last_updated": "2019-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MO",
            "license": "2019007197",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kansas City, MO

Sources for this page

Verify at the official NPI Registry.