Active NPI
Michael Steven Kennelly, CRNP
- Cardiovascular Disease Physician
- Du Bois, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- SP026537
- Practice address
- 145 Hospital Ave
Suite 211
Dubois, PA 15801-1464 - Phone
- (814) 375-3722
- NPI assigned
- Nov 1, 2022
- Last updated
- Apr 15, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | SP026537 | PA | Primary |
Addresses
Primary practice location
145 Hospital Ave
Suite 211
Dubois, PA 15801-1464
Mailing address
145 Hospital Ave
Suite 211
Dubois, PA 15801-1464
Phone (814) 375-3722
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| SP026537 | Other | PA | PENNSYLVANIA STATE NURSE PRACTITIONER LICENSE |
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
Enrollment records 1
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
Practice addresses (Care Compare)
145 Hospital Ave
Suite 113
Du Bois, PA 15801-1463
Phone (814) 375-3722
Hospital & facility affiliations
- Penn Highlands Dubois
- Penn Highlands Elk
- Penn Highlands Brookville
- Punxsutawney Area Hospital
- Penn Highlands Huntingdon
Merit-based Incentive Payment System (MIPS)
- Final score
- 79.49 of 100
- Quality
- 67.97
- Improvement activities
- 40
- Cost
- 74.35
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SP026537 | PA | MD | Cardiovascular Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dubois Regional Cardiology Associates LLC | Cardiovascular Disease | Current | Accepting new patients |
Locations
145 Hospital Ave
Ste 113
Dubois, PA 15801
Phone (814) 375-3722
145 Hospital Ave
Ste 211
Dubois, PA 15801
Phone (814) 375-2070
Interoperability endpoints
- mkennelly@drca.medentdirect.com
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Cardiovascular Disease Physician
- Du Bois, PA
- NPI 1477594232
Hospital & facility affiliations 46
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Allegheny Health Center
- Family Medicine Physician
- Brookville, PA
- NPI 1083762876
Hospital
-
dba Brookville Physicians
- Multi-Specialty Clinic/Center
- Brookville, PA
- NPI 1578733093
Hospital
-
dba Penn Highlands Brookville
- Multi-Specialty Clinic/Center
- Brookville, PA
- NPI 1629697925
Hospital
-
dba Penn Highlands Brookville
- Critical Access Hospital
- Brookville, PA
- NPI 1760452924
-
- Maternal & Fetal Medicine Physician
- Du Bois, PA
- NPI 1033213608
Hospital
-
dba Penn Highlands DuBois
- Orthopaedic Surgery Physician
- Du Bois, PA
- NPI 1083727796
Hospital
-
dba Penn Highlands Dubois Radiology/Radiation Oncology
- Diagnostic Radiology Physician
- Du Bois, PA
- NPI 1093812406
Hospital
-
dba Penn Highlands DuBois
- General Acute Care Hospital
- Du Bois, PA
- NPI 1144249657
-
dba Penn Highlands DuBois
- Neurological Surgery Physician
- Du Bois, PA
- NPI 1184728727
Hospital
-
- Endocrinology, Diabetes & Metabolism Physician
- Du Bois, PA
- NPI 1245341387
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1667260800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1776211200000",
"number": "1508573353",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "145 HOSPITAL AVE",
"address_2": "SUITE 211",
"city": "DUBOIS",
"state": "PA",
"postal_code": "158011464",
"telephone_number": "814-375-3722"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "145 HOSPITAL AVE",
"address_2": "SUITE 211",
"city": "DUBOIS",
"state": "PA",
"postal_code": "158011464",
"telephone_number": "814-375-3722"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KENNELLY",
"first_name": "MICHAEL",
"middle_name": "STEVEN",
"credential": "CRNP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-11-01",
"last_updated": "2026-04-15",
"certification_date": "2026-04-15",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "PA",
"license": "SP026537",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PENNSYLVANIA STATE NURSE PRACTITIONER LICENSE",
"identifier": "SP026537",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Du Bois, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2026; 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.