Individual provider Active NPI

Katie Brianne Kennedy, FNP

  • Family Nurse Practitioner
  • Annville, PA
National Provider Identifier
1245953710
Registry record updated Jul 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP026289 Issued in PA
Practice address
1251 E Main St
Annville, PA 17003-1643
Phone
(717) 867-4671
Fax
(717) 867-4981
NPI assigned
Sep 20, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X SP026289 PA Primary

Addresses

Primary practice location

1251 E Main St
Annville, PA 17003-1643

Mailing address

1251 E Main St
Annville, PA 17003-1643
Phone (717) 867-4671

Other practice location 1

1950 Marietta Ave
Lancaster, PA 17603-2324
Phone (717) 392-7986

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20250212003665 PA Practitioner - Nurse Practitioner 0345614590 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Physiatry Consultants of NC PLLCGroup PAC ID 2567871643, 77 clinicians

Practice addresses (Care Compare)

1700 Market St
Camp Hill, PA 17011-4817
Phone (717) 737-8551

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Family Practice Center, PC CurrentSince Mar 1, 2025 Accepting new patients
Family Practice Center, PC CurrentSince Mar 1, 2025 Accepting new patients
Physiatry Consultants of NC PLLC CurrentSince Mar 20, 2025 Accepting new patients

Locations

415 W Golf Rd
Ste 26
Arlington Hts, IL 60005

1700 Market St
Camp Hill, PA 17011
Phone (717) 737-8551

940 Walnut Bottom Rd
Carlisle, PA 17015
Phone (717) 249-0085

1950 Marietta Ave
Lancaster, PA 17603
Phone (717) 295-4950

590 S 5th Ave
Lebanon, PA 17042
Phone (717) 254-0421

7 Dock Hill Rd
Middleburg, PA 17842
Phone (570) 837-2123

1104 Welsh Rd
Philadelphia, PA 19115
Phone (215) 676-7191

270 Susquehanna Valley Mall Dr
Ste 300
Selinsgrove, PA 17870
Phone (570) 743-1703

500 Philadelphia Ave
Shillington, PA 19607
Phone (610) 777-7841

Organizations & group practices 3

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": "1663632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785369600000",
    "number": "1245953710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1251 E MAIN ST",
            "city": "ANNVILLE",
            "state": "PA",
            "postal_code": "170031643",
            "telephone_number": "717-867-4671",
            "fax_number": "717-867-4981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1251 E MAIN ST",
            "city": "ANNVILLE",
            "state": "PA",
            "postal_code": "170031643",
            "telephone_number": "717-867-4671",
            "fax_number": "717-867-4981"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1950 Marietta Ave",
            "address_purpose": "LOCATION",
            "city": "Lancaster",
            "state": "PA",
            "postal_code": "176032324",
            "country_code": "US",
            "telephone_number": "717-392-7986",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KENNEDY",
        "first_name": "KATIE",
        "middle_name": "BRIANNE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-20",
        "last_updated": "2026-07-30",
        "certification_date": "2026-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP026289",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Annville, PA

Sources for this page

Verify at the official NPI Registry.