Individual provider Active NPI

Chelsey Loree Kennedy, DNP, WHNP-BC, IBCLC

  • Women's Health Nurse Practitioner
  • Grand Island, NE
National Provider Identifier
1306444930
Registry record updated Oct 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
113270 Issued in NE
Practice address
217 E Stolley Park Rd Ste E
Grand Island, NE 68801-8206
Phone
(308) 384-7625
NPI assigned
Oct 15, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X 113270 NE Primary

Addresses

Primary practice location

217 E Stolley Park Rd Ste E
Grand Island, NE 68801-8206

Mailing address

3770 Norseman Ave
Grand Island, NE 68803-1420
Phone (308) 778-6852

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE
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
I20201118001761 NE Practitioner - Nurse Practitioner 6608287974 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
CHI Health Clinic Specialty LLCGroup PAC ID 4789098443, 317 clinicians

Practice addresses (Care Compare)

705 Orleans Dr
Grand Island, NE 68803-3409
Phone (308) 398-9393

8207 Northwoods Dr
Suite 100
Lincoln, NE 68505-2093
Phone (402) 484-3440

Hospital & facility affiliations

  • CHI Health St. Francis Hospital, Grand Island, NE, CCN 280023

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
113270NEMDWomen's Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Choice Family Health Care Inc. CurrentSince Oct 12, 2020 Accepting new patients
CHI Health Clinic Specialty, LLC CurrentSince Feb 16, 2021 Accepting new patients

Locations

217 E Stolley Park Rd
Grand Island, NE 68801
Phone (308) 384-7625

217 E Stolley Park Rd
Ste E
Grand Island, NE 68801
Phone (308) 384-7625

2620 W Faidley Ave
Grand Island, NE 68803
Phone (308) 382-6856

705 Orleans Dr
Grand Island, NE 68803
Phone (308) 369-5359

4503 2nd Ave
Ste 209
Kearney, NE 68847
Phone (308) 234-9140

8207 Northwoods Dr
Ste 100
Lincoln, NE 68505
Phone (402) 484-3440

Organizations & group practices 2

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 1

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": "1602720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602720000000",
    "number": "1306444930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3770 NORSEMAN AVE",
            "city": "GRAND ISLAND",
            "state": "NE",
            "postal_code": "688031420",
            "telephone_number": "308-778-6852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "217 E STOLLEY PARK RD STE E",
            "city": "GRAND ISLAND",
            "state": "NE",
            "postal_code": "688018206",
            "telephone_number": "308-384-7625"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENNEDY",
        "first_name": "CHELSEY",
        "middle_name": "LOREE",
        "name_prefix": "Dr.",
        "credential": "DNP, WHNP-BC, IBCLC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-15",
        "last_updated": "2020-10-15",
        "certification_date": "2020-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "NE",
            "license": "113270",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Island, NE

Sources for this page

Verify at the official NPI Registry.