Individual provider Active NPI

Megan Rene Kennedy

  • Nurse Practitioner
  • Clearwater, FL
National Provider Identifier
1548816812
Registry record updated Sep 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APRN11025684 Issued in FL
Practice address
5771 Roosevelt Blvd
Clearwater, FL 33760-3407
Phone
(727) 523-2460
NPI assigned
Aug 13, 2019
Last updated
Sep 6, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 6, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X APRN11025684 FL Primary

Addresses

Primary practice location

5771 Roosevelt Blvd
Clearwater, FL 33760-3407

Mailing address

5955 Rand Blvd
Sarasota, FL 34238-5160

Other practice location 1

5955 Rand Blvd
Sarasota, FL 34238-5160
Phone (855) 855-2838

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mekennedy@genesishcs.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20231004001814 FL Practitioner - Nurse Practitioner 9234469297 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Empath Community Health LLCGroup PAC ID 8527368877, 10 clinicians

Practice addresses (Care Compare)

6770 102ND Ave N
Pinellas Park, FL 33782-2909
Phone (727) 523-2460

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Medicine Services of FL, LLC CurrentSince Oct 5, 2024 Accepting new patients
Empath Community Health LLC CurrentSince Feb 18, 2024 Accepting new patients
Hospital Medicine Services of FL, LLC CurrentSince Oct 5, 2024 Accepting new patients
Empath Hospice, LLC PastSince Mar 12, 2024 Accepting new patients

Locations

5771 Roosevelt Blvd
Clearwater, FL 33760
Phone (727) 523-2480

340 NW Commerce Dr
Lake City, FL 32055
Phone (386) 719-9000

6310 Capital Dr
Lakewood Ranch, FL 34202
Phone (941) 552-7500

20900 Biscayne Blvd
Miami, FL 33180
Phone (305) 682-7290

6770 102nd Ave N
Pinellas Park, FL 33782
Phone (727) 523-2460

105 Tamiami Trl
Fl Tamiami
Port Charlotte, FL 33953

21298 Olean Blvd
Pt Charlotte, FL 33952
Phone (941) 624-7032

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

Organizations & group practices 4

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.

Hospital & facility affiliations 2

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": "1565654400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725580800000",
    "number": "1548816812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5955 RAND BLVD",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342385160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5771 ROOSEVELT BLVD",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337603407",
            "telephone_number": "727-523-2460"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5955 Rand Blvd",
            "address_purpose": "LOCATION",
            "city": "Sarasota",
            "state": "FL",
            "postal_code": "342385160",
            "country_code": "US",
            "telephone_number": "855-855-2838",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KENNEDY",
        "first_name": "MEGAN",
        "middle_name": "RENE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-08-13",
        "last_updated": "2024-09-06",
        "certification_date": "2024-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "APRN11025684",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mekennedy@genesishcs.org",
            "affiliation": "N",
            "address_1": "945 Bethesda Dr",
            "city": "Zanesville",
            "state": "OH",
            "country_code": "US",
            "postal_code": "437010801",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Clearwater, FL

Sources for this page

Verify at the official NPI Registry.