Individual provider Active NPI

Jennifer Michelle Kennedy, APRN

  • Family Nurse Practitioner
  • Paducah, KY
National Provider Identifier
1538760277
Registry record updated Sep 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3015447 Issued in KY
Practice address
110 Lone Oak Rd Ste 124
Paducah, KY 42001-4435
Phone
(812) 476-7111
Fax
(812) 476-7117
NPI assigned
Nov 7, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 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 3015447 KY Primary

Addresses

Primary practice location

110 Lone Oak Rd Ste 124
Paducah, KY 42001-4435

Mailing address

1029 Medical Center Cir Ste 202
Mayfield, KY 42066-1189
Phone (270) 247-7795

Other practice location 1

120 Executive Park
Louisville, KY 40207-4201
Phone (502) 855-7200

Other practice location 2

2609 New Hartford Rd Ste 3
Owensboro, KY 42303-1394
Phone (812) 476-7111

Other practice location 3

1029 Medical Center Cir Ste 202
Mayfield, KY 42066-1189
Phone (270) 247-7795

Other identifiers 1

IdentifierTypeStateIssuer
7100747480MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, IL2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20210916003200 KY Practitioner - Nurse Practitioner 8921405002 Reassigns benefits to 1 organization
I20220714001397 IL Practitioner - Nurse Practitioner 8921405002

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
Commonwealth Pain Associates PLLCGroup PAC ID 0941441919, 156 clinicians

Practice addresses (Care Compare)

110 Lone Oak Rd
Suite 124
Paducah, KY 42001-4435
Phone (812) 476-7111

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
3015447KYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Commonwealth Pain Associates, PLLC Family CurrentSince Apr 3, 2025 Accepting new patients
Commonwealth Pain Associates PLLC CurrentSince Apr 3, 2025 Accepting new patients

Locations

2609 New Hartford Rd
Ste 3
Owensboro, KY 42303
Phone (270) 417-2000

110 Lone Oak Rd
Ste 124
Paducah, KY 42001

120 Executive Park
St Matthews, KY 40207
Phone (502) 409-9925

Interoperability endpoints

  • Direct secure messaging: jennifer.kennedy.1@16521.direct.athenahealth.com

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": "1604707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789084800000",
    "number": "1538760277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1029 MEDICAL CENTER CIR STE 202",
            "city": "MAYFIELD",
            "state": "KY",
            "postal_code": "420661189",
            "telephone_number": "270-247-7795",
            "fax_number": "800-574-6540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 LONE OAK RD STE 124",
            "city": "PADUCAH",
            "state": "KY",
            "postal_code": "420014435",
            "telephone_number": "812-476-7111",
            "fax_number": "812-476-7117"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "120 Executive Park",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402074201",
            "country_code": "US",
            "telephone_number": "502-855-7200",
            "fax_number": "502-855-7201",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2609 New Hartford Rd Ste 3",
            "address_purpose": "LOCATION",
            "city": "Owensboro",
            "state": "KY",
            "postal_code": "423031394",
            "country_code": "US",
            "telephone_number": "812-476-7111",
            "fax_number": "812-476-7117",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1029 Medical Center Cir Ste 202",
            "address_purpose": "LOCATION",
            "city": "Mayfield",
            "state": "KY",
            "postal_code": "420661189",
            "country_code": "US",
            "telephone_number": "270-247-7795",
            "fax_number": "270-251-4551",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KENNEDY",
        "first_name": "JENNIFER",
        "middle_name": "MICHELLE",
        "name_prefix": "Ms.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-07",
        "last_updated": "2026-09-11",
        "certification_date": "2026-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3015447",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100747480",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Paducah, KY

Sources for this page

Verify at the official NPI Registry.