Individual provider Active NPI

Karen Sue Kennedy, ARNP

  • Family Nurse Practitioner
  • Hawarden, IA
National Provider Identifier
1639724065
Registry record updated Mar 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
A155980 Issued in IA
Practice address
1111 11TH St
Hawarden, IA 51023-1903
Phone
(712) 551-3100
NPI assigned
Aug 2, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2020

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 A155980 IA Primary

Addresses

Primary practice location

1111 11TH St
Hawarden, IA 51023-1903

Mailing address

1111 11TH St
Hawarden, IA 51023-1903
Phone (712) 551-3100

Electronic endpoints 2

TypeEndpointUseAffiliation
Other URL karen.robak@mercyhealth.com
Direct Messaging Address karen.robak@mercyhealth.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
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
I20200313002069 IA Practitioner - Nurse Practitioner 9032547666 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hawarden Regional Healthcare Clinics LLCGroup PAC ID 7517929532, 20 clinicians

Practice addresses (Care Compare)

1111 11TH St
Hawarden, IA 51023-1903
Phone (712) 551-3100

1122 12TH St
Hawarden, IA 51023-1900
Phone (712) 551-3400

Hospital & facility affiliations

  • Hawarden Regional Healthcare Hospital, Hawarden, IA, CCN 161311

Merit-based Incentive Payment System (MIPS)

Final score
95.27 of 100Reported as apm
Quality
85.98
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A155980IAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hawarden Regional Healthcare Clinics LLC Family CurrentSince Mar 3, 2020 Accepting new patients
Hawarden Regional Healthcare Clinics LLC CurrentSince Mar 3, 2020 Accepting new patients

Locations

1111 11th St
Hawarden, IA 51023
Phone (712) 551-3100

1122 12th St
Hawarden, IA 51023
Phone (712) 551-3400

Interoperability endpoints

  • Direct secure messaging: kennedyk@hrh.securechart.com

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.

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": "1564704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584316800000",
    "number": "1639724065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 11TH ST",
            "city": "HAWARDEN",
            "state": "IA",
            "postal_code": "510231903",
            "telephone_number": "712-551-3100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 11TH ST",
            "city": "HAWARDEN",
            "state": "IA",
            "postal_code": "510231903",
            "telephone_number": "712-551-3100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENNEDY",
        "first_name": "KAREN",
        "middle_name": "SUE",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-02",
        "last_updated": "2020-03-16",
        "certification_date": "2020-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IA",
            "license": "A155980",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "karen.robak@mercyhealth.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "address_1": "1111 11th St",
            "city": "Hawarden",
            "state": "IA",
            "country_code": "US",
            "postal_code": "510231903",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "karen.robak@mercyhealth.com",
            "affiliation": "N",
            "endpointDescription": "work email",
            "address_1": "1111 11th St",
            "city": "Hawarden",
            "state": "IA",
            "country_code": "US",
            "postal_code": "510231903",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Hawarden, IA

Sources for this page

Verify at the official NPI Registry.